Timothy Jerum Clark (NPI# 1518492008, PAC ID# 3577824440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518492008 |
| PAC ID by PECOS | 3577824440 |
| Professional Enrollment ID | I20180312000326 |
| Full Name | Timothy Jerum Clark |
| Organization Legal Name | FAMILY CARE CENTERS INC |
| Address |
600 Commerce Blvd Stroudsburg PA 18360-6214 |
| Phone Number | 5704262330 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395649347 |
| Number of Group Practice Members | 182 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390201 | LEHIGH VALLEY HOSPITAL - POCONO |
| 390326 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| 390330 | ST LUKE'S HOSPITAL - MONROE CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 600 Commerce Blvd, Stroudsburg, PA 18360-6214 | 5704262330 | FAMILY CARE CENTERS INC |
| Organization Legal Name | FAMILY CARE CENTERS INC |
| Physicians | 161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Smith | Nurse Practitioner | Family Care Centers Inc | 179 Independence Rd, East Stroudsburg, PA 18301-9206 |
| Pete Kwabena Obeng | Internal Medicine | Family Care Centers Inc | 2836 Route 611, Tannersville, PA 18372-7922 |
| Shannon Ives | Nurse Practitioner | Family Care Centers Inc | 500 Plaza Ct A, East Stroudsburg, PA 18301-8262 |
| Lutchana Beckford | Nurse Practitioner | Family Care Centers Inc | 181 E Brown St, East Stroudsburg, PA 18301-3006 |
| Melania N Falik | Nurse Practitioner | Family Care Centers Inc | 200 E Brown St, East Stoudsburg, PA 18301-3006 |
| Seanna Thompson | Obstetrics/gynecology | Family Care Centers Inc | 600 Commerce Blvd, Stroudsburg, PA 18360-6214 |
| Ravikumari Gollapalli | Internal Medicine | Family Care Centers Inc | 400 Plaza Ct A, East Stroudsburg, PA 18301-8261 |
| Kimberly Fuss | Nurse Practitioner | Family Care Centers Inc | 100 Community Dr, Suite 102, Tobyhanna, PA 18466-8986 |
| Shirl Hortzog Hargrove | Nurse Practitioner | Family Care Centers Inc | 292 Frantz Rd, Suite 108, Stroudsburg, PA 18360-6205 |
| Elizabeth Svetovich | Occupational Therapy | Family Care Centers Inc | 500 Plaza Ct B, East Stroudsburg, PA 18301-8262 |
| Street Address |
600 COMMERCE BLVD |
| City | STROUDSBURG |
| State | PA |
| Zip | 18360-6214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seanna Thompson | Obstetrics/gynecology | Family Care Centers Inc | 600 Commerce Blvd, Stroudsburg, PA 18360-6214 |
| Krista M Bott | General Surgery | Family Care Centers Inc | 600 Commerce Blvd, Stroudsburg, PA 18360-6214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan B Herman | Chiropractic | 1718 W Main St, Stroudsburg, PA 18360-1026 | |
| William Martin | Chiropractic | 1015 Congdon Ave, Stroudsburg, PA 18360-1117 | |
| Thomas Patric Mclaughlin | Optometry | 600 Stroud Mall, Stroudsburg, PA 18360-1156 | |
| Kartik Patel | Ophthalmology | 852 N 9th St, Stroudsburg, PA 18360-1206 | |
| Peter Joseph Racciato | Ophthalmology | 1036 N 9th St, Stroudsburg, PA 18360-1210 | |
| Stephen Rudnick | Optometry | 1036 N 9th St, Stroudsburg, PA 18360-1210 | |
| Christine S Gallagher | Nurse Practitioner | Community Resource Nurse Practitioners, LLC | 15 Linden St, Stroudsburg, PA 18360-1313 |
| Tricia L Vermilya | Nurse Practitioner | Community Resource Nurse Practitioners, LLC | 15 Linden St, Stroudsburg, PA 18360-1313 |
| Matthew D Ottinger | Nurse Practitioner | Isl, Ltd. | 1172 W Main St, Stroudsburg, PA 18360-1323 |
| Lula D Thomas | Nurse Practitioner | Isl, Ltd. | 1172 W Main St, Stroudsburg, PA 18360-1323 |
| Find all physicians in zip 18360 | |||
| City | STROUDSBURG |
| Zip Code | 18360 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STROUDSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy Jerum 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.