John R Clarke (NPI# 1972676989, PAC ID# 3678728953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1972676989 |
| PAC ID by PECOS | 3678728953 |
| Professional Enrollment ID | I20130313000299 |
| Full Name | John R Clarke |
| Address |
5181 Ne 19 Ave Fort Lauderdale FL 33308-3712 |
| Phone Number | 9547551223 |
| Gender | M |
| Graduation Year | 1966 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100039 | BROWARD HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5181 Ne 19 Ave, Fort Lauderdale, FL 33308-3712 | 9547551223 |
| Street Address |
5181 NE 19 AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33308-3712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Edward M Coopersmith | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Adam Lipman | Orthopedic Surgery | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Tatum Erin Nolan | Physician Assistant | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Robert Thompson | Emergency Medicine | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Louis M Lit | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Merrick D Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Leslie Ettlinger | Physical Therapy | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Stasha Novakovic | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Newsha Lajevardi | Dermatology | Roger H Stewart Md Pa | 6550 N Federal Hwy, Suite 320, Ft Lauderdale, FL 33308-1400 |
| Find all physicians in zip 33308 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
| Specialty | ORAL SURGERY |
| City + Specialty | FORT LAUDERDALE + ORAL SURGERY |
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| 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.