Jeremy Clark (NPI# 1073838850, PAC ID# 3072738780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1073838850 |
| PAC ID by PECOS | 3072738780 |
| Professional Enrollment ID | I20140711001598 |
| Full Name | Jeremy Clark |
| Organization Legal Name | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| Address |
301 E Muhammad Ali Blvd Louisville KY 40202-1511 |
| Phone Number | 5028525466 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3476725599 |
| Number of Group Practice Members | 619 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180130 | BAPTIST HEALTH LOUISVILLE |
| 150069 | KING'S DAUGHTERS' HEALTH |
| 180012 | HARDIN MEMORIAL HOSPITAL |
| 150044 | BAPTIST HEALTH FLOYD |
| 180141 | UNIVERSITY OF LOUISVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 | 5028525466 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| 401 E Chestnut St, Louisville, KY 40202-5700 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC | |
| 530 S Jackson St, Louisville, KY 40202-1675 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC | |
| 530 S Jackson St, C07, Louisville, KY 40202-1675 | 5028525875 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| 571 S Floyd St, Louisville, KY 40202-3818 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC | |
| 6400 Dutchmans Ln, Suite 310, Louisville, KY 40205-3344 | 5027422848 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| 1850 State St, New Albany, IN 47150-4990 | 8129447701 | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | UNIVERSITY OF LOUISVILLE PHYSICIANS, INC |
| Physicians | 721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Jane Wilkens | Pediatric Medicine | University of Louisville Physicians, Inc | 411 E Chestnut St, Louisville, KY 40202-1713 |
| Joseph G. D'ambrosio | Clinical Social Worker | University of Louisville Physicians, Inc | 300 E Market St, Suite 490, Louisville, KY 40202-1959 |
| Elaine K Courtney | Physician Assistant | University of Louisville Physicians, Inc | 550 S Jackson St 2nd Floor, Louisville, KY 40202-1622 |
| Sean Warren | Family Medicine | University of Louisville Physicians, Inc | 215 Central Ave, Suite 100, Louisville, KY 40208-1450 |
| Lacy L Ochs | Pediatric Medicine | University of Louisville Physicians, Inc | 555 S Floyd St, Louisville, KY 40202-3822 |
| Joseph Neimat | Neurology | University of Louisville Physicians, Inc | 3104 Blackiston Blvd, New Albany, IN 47150-9579 |
| Izegbea M. Cannon | Nurse Practitioner | University of Louisville Physicians, Inc | 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1963 |
| Mohamed M Hegazi | Hematology/oncology | University of Louisville Physicians, Inc | 529 S Jackson St, Louisville, KY 40202-3229 |
| Kevin Marques | Obstetrics/gynecology | University of Louisville Physicians, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Christopher J. Compton | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Street Address |
301 E MUHAMMAD ALI BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip | 40202-1511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J. Compton | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Douglas Sigford | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Kara Lynn Tison | Optometry | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Donald A Smith Jr. | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Robb R Shrader | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Hossein Asghari | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Joern B Soltau | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Patrick A Scott | Optometry | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Judith Mohay Ambrus | Ophthalmology | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Nicholas Silvestros | Optometry | University of Louisville Physicians, Inc | 301 E Muhammad Ali Blvd, Louisville, KY 40202-1511 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Becker | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Elizabeth A Mills | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Barry R Pecha | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Ryan J Malone | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephan J Sweitzer | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Kelly M Gollar | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| David H Rosenbaum | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Richard N Medley Iii | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Corbett | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Flaspoehler | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Find all physicians in zip 40202 | |||
| City | LOUISVILLE |
| Zip Code | 40202 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LOUISVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jeremy 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.