Charles E Clark Iv (NPI# 1194745851, PAC ID# 2961395686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1194745851 |
| PAC ID by PECOS | 2961395686 |
| Professional Enrollment ID | I20040205001209 |
| Full Name | Charles E Clark Iv |
| Organization Legal Name | VALLEY ANESTHESIA PC |
| Address |
3700 S Main St Blacksburg VA 24060-7017 |
| Phone Number | 5409535374 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 7416851597 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 3700 S Main St, Blacksburg, VA 24060-7017 | 5409535374 | VALLEY ANESTHESIA PC |
| 1900 Electric Rd, Salem, VA 24153-7494 | 5407723400 | VALLEY ANESTHESIA PC |
| Organization Legal Name | VALLEY ANESTHESIA PC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth R Marshall | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Stephen O Slattery | Anesthesiology | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Maria D Johnson | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Whitney Lynn Bateman | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Kathryn B Stewart | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Jill A Harper | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Jeffrey A. Forbes | Anesthesiology | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Wesley A Robinson | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Amy M Lewis | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| David B Carter | Anesthesiology | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Street Address |
3700 S MAIN ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Joseph Recupero | Internal Medicine | Wildwood Physician Services LLC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Michael R Aronson | Diagnostic Radiology | Montgomery Radiology Associates Inc | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Kristie Jackson | Nurse Practitioner | Wildwood Emergency Group, LLC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Whitney Lynn Bateman | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Edmund Matthew Sciullo Iii | Emergency Medicine | Wildwood Emergency Group, LLC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| John B Patterson | Cardiovascular Disease (cardiology) | Lewis Gale Physicians LLC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| David H Lander | Emergency Medicine | Wildwood Emergency Group, LLC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| John Paul Jones | Cardiovascular Disease (cardiology) | Lewis Gale Physicians LLC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Jeffrey A. Forbes | Anesthesiology | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Wesley A Robinson | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 3700 S Main St, Blacksburg, VA 24060-7017 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | BLACKSBURG + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Charles E Clark Iv.
| 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.