Carolyn Clark (NPI# 1033156617, PAC ID# 2860572997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1033156617 |
| PAC ID by PECOS | 2860572997 |
| Professional Enrollment ID | I20100210000611 |
| Full Name | Carolyn Clark |
| Organization Legal Name | PHYSICIAN ASSOCIATES OF VIRGINIA PC |
| Address |
4461 Starkey Rd Suite 201 Roanoke VA 24018-0612 |
| Phone Number | 5403454946 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3870578214 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490048 | LEWISGALE MEDICAL CENTER |
| 490024 | CARILION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 | 5403454946 | PHYSICIAN ASSOCIATES OF VIRGINIA PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 52% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 90% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 20% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 70% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 8% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Organization Legal Name | PHYSICIAN ASSOCIATES OF VIRGINIA PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Bauer | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| James H Gardner | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Russell Noblett | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Katherine F Barnhill | Nurse Practitioner | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Pamela K Cassell | Nurse Practitioner | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Sharon Anne Crookshanks | Physician Assistant | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Brittany Lower | Family Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Anne M Jaeger | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Ezekiel N Jones Ii | Family Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Charlotte Hagan | Psychiatry | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Street Address |
4461 STARKEY RD SUITE 201 |
| City | ROANOKE |
| State | VA |
| Zip | 24018-0612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Bauer | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| James H Gardner | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Russell Noblett | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Katherine F Barnhill | Nurse Practitioner | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Pamela K Cassell | Nurse Practitioner | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Sharon Anne Crookshanks | Physician Assistant | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Brittany Lower | Family Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Anne M Jaeger | Internal Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Ezekiel N Jones Ii | Family Medicine | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Charlotte Hagan | Psychiatry | Physician Associates of Virginia PC | 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Bailey | Nurse Practitioner | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Kimberley Kay Buff | Nurse Practitioner | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Jeffrey W Horton | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Eliza A Jacob | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Thomas B Bolton | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Eric D Kramer | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Ethan R Freeborn | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Chad W Mosby | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Daniel Patrick Sapp | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| David Long | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Find all physicians in zip 24018 | |||
| City | ROANOKE |
| Zip Code | 24018 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROANOKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carolyn Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.