Seth Nathanael Clark (NPI# 1669811915, PAC ID# 3577856145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1669811915 |
| PAC ID by PECOS | 3577856145 |
| Professional Enrollment ID | I20160823000150 |
| Full Name | Seth Nathanael Clark |
| Organization Legal Name | FOOT AND ANKLE SPECIALISTS OF ARIZONA, PLLC |
| Address |
18301 N 79th Ave Suite F168 Glendale AZ 85308-6045 |
| Phone Number | 6026750478 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7113359555 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030061 | BANNER BOSWELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18301 N 79th Ave, Suite F168, Glendale, AZ 85308-6045 | 6026750478 | FOOT AND ANKLE SPECIALISTS OF ARIZONA, PLLC |
| 4550 E Bell Rd, Suite 170, Phoenix, AZ 85032-9385 | 4804438400 | ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES |
| Organization Legal Name | FOOT AND ANKLE SPECIALISTS OF ARIZONA, PLLC |
| Physicians | 1 |
| Street Address |
18301 N 79TH AVE SUITE F168 |
| City | GLENDALE |
| State | AZ |
| Zip | 85308-6045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdullah Hanna-moussa | Endocrinology | 18301 N 79th Ave, Suite C136, Glendale, AZ 85308-8471 | |
| Sharon Ann Bell | Psychologist, Clinical | 18301 N 79th Ave, Suite C133, Glendale, AZ 85308-8471 | |
| Alyssa Petterson | Physical Therapy | Preferred Physical Therapy LLC | 18301 N 79th Ave, B122, Glendale, AZ 85308-8469 |
| Jaime N Lehman | Registered Dietitian Or Nutrition Professional | 18301 N 79th Ave, Suite C136, Glendale, AZ 85308-8471 | |
| Nicholas E Hunter | Physical Therapy | Preferred Physical Therapy LLC | 18301 N 79th Ave, B122, Glendale, AZ 85308-8469 |
| Hannah Renee Andersen | Physical Therapy | Preferred Physical Therapy LLC | 18301 N 79th Ave, B122, Glendale, AZ 85308-8469 |
| Gerald B Harris Ii | Internal Medicine | 18301 N 79th Ave, G190, Glendale, AZ 85308-6093 | |
| Sundeep S Patel | Cardiac Surgery | 18301 N 79th Ave, Suite C135, Glendale, AZ 85308-8471 | |
| James O Mulroy | Physical Therapy | Preferred Physical Therapy LLC | 18301 N 79th Ave, B122, Glendale, AZ 85308-8469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Will V Jeffers | Family Practice | Will Jeffers D.o., P.C. | 8251 W Union Hills Dr, 140 Now Care, Glendale, AZ 85308-0505 |
| Samyuktha Sreenivasan | Internal Medicine | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Waheeda Siddiqui Ahmed | Nurse Practitioner | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| Henry Richard Mora | Family Practice | Vhs Outpatient Clinics Inc | 18185 N 83rd Ave, Bldg D 107, Glendale, AZ 85308-0520 |
| James Francois | Optometry | Nationwide Optometry P.C. | 20221 N 67th Ave, Suite E8, Glendale, AZ 85308-0602 |
| David E Hawkins | Physical Therapy | Achieve Physical Therapy of Arizona, Pllc | 17235 N 75th Ave, Suite E145, Glendale, AZ 85308-0867 |
| Philip J Zair | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Melanie H Dias | Chiropractic | Living Pure Chiropractic LLC | 17235 N 75th Ave, Suite F 110, Glendale, AZ 85308-0872 |
| Kristina A Fawcett | Nurse Practitioner | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Michael L Berman | Internal Medicine | Berman Medical Consulting, PC | 6320 W Union Hills Dr, Building A Suite 140, Glendale, AZ 85308-1061 |
| Find all physicians in zip 85308 | |||
| City | GLENDALE |
| Zip Code | 85308 |
| Specialty | PODIATRY |
| City + Specialty | GLENDALE + PODIATRY |
Please comment or provide details below to improve the information on Seth Nathanael 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.