Edward C Clark (NPI# 1124028311, PAC ID# 2961454038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1124028311 |
PAC ID by PECOS | 2961454038 |
Professional Enrollment ID | I20120103000112 |
Full Name | Edward C Clark |
Address |
11355 Pembrooke Sq Suite 107 Waldorf MD 20603-4805 |
Gender | M |
Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1971 |
Primary Specialty | OPHTHALMOLOGY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
40845 Merchants Ln, Suite 150, Leonardtown, MD 20650-3720 | ||
11355 Pembrooke Sq, Suite 107, Waldorf, MD 20603-4805 |
Street Address |
11355 PEMBROOKE SQ SUITE 107 |
City | WALDORF |
State | MD |
Zip | 20603-4805 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seema Pai | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Arthur Flatau Iii | Vascular Surgery | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Giancarlo M Chiancone | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Shawna Angel Chisholm | Nurse Practitioner | Ideal Telemedicine Services LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Kaashif Eazazuddin | Otolaryngology | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Felix A Adeyemi | Physician Assistant | Ideal Telemedicine Services LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Kelley K Prado | Physician Assistant | Ideal Telemedicine Services LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Frederick Beavers | Vascular Surgery | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Hyungchul Kim | Colorectal Surgery (proctology) | Whc Physician Group LLC | 11355 Pembrooke Sq, Waldorf, MD 20603-4805 |
Elizabeth H Guonjian | Emergency Medicine | Whc Physician Group LLC | 11355 Pembrooke Sq, Suite 108, Waldorf, MD 20603-4805 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Nevena Puletic | Nurse Practitioner | Khosrow Davachi,md PC | 45 Saint Particks Dr, Waldorf, MD 20603-4507 |
Ruth Brozgal | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
Karin Novinger | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
Melinda Sears | Speech Language Pathologist | Fox Rehab Slp Md LLC | 45 Saint Patricks Dr, Waldorf, MD 20603-4507 |
Ryerson Stinson | Occupational Therapy | Proflex Physical Therapy of Maryland LLC | 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603-4583 |
Vabian L Paden | Physical Medicine and Rehabilitation | Paden-life-care LLC | 10 Saint Patricks Dr, Waldorf, MD 20603-4583 |
Frank Digiovannantonio | Occupational Therapy | Proflex Physical Therapy of Maryland, LLC | 10 Saint Patricks Dr, Waldorf, MD 20603-4583 |
Dainty J Jackson | Family Medicine | 10 Saint Patricks Dr, Suite 502, Waldorf, MD 20603-4584 | |
Hadia Riaz Choudhary | Optometry | Frederick J Sauerburger Md Pa | 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804 |
Frederick J Sauerburger | Ophthalmology | Frederick J Sauerburger Md Pa | 11345 Pembrooke Sq, Suite 105, Waldorf, MD 20603-4804 |
Find all physicians in zip 20603 |
City | WALDORF |
Zip Code | 20603 |
Specialty | OPHTHALMOLOGY |
City + Specialty | WALDORF + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Edward C 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.