Howard D Clark (NPI# 1689696064, PAC ID# 3870560881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1689696064 |
| PAC ID by PECOS | 3870560881 |
| Professional Enrollment ID | I20080428000224 |
| Full Name | Howard D Clark |
| Organization Legal Name | SCOTT REGIONAL MEDICAL CENTER, INC |
| Address |
317 Hwy 13 S Morton MS 39117-3353 |
| Phone Number | 6017326301 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1955 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648366260 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251323 | SCOTT REGIONAL HOSPITAL CAH |
| 250069 | RUSH FOUNDATION HOSPITAL |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 251300 | LACKEY MEMORIAL HOSPITAL |
| 250096 | MERIT HEALTH RANKIN |
| Address | Phone | Organization |
|---|---|---|
| 317 Hwy 13 S, Morton, MS 39117-3353 | 6017326301 | SCOTT REGIONAL MEDICAL CENTER, INC |
| 321 Hwy 13 S, Morton, MS 39117-3353 | 6017328612 | SCOTT REGIONAL MEDICAL CENTER, INC |
| Organization Legal Name | SCOTT REGIONAL MEDICAL CENTER, INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Gainey | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Brandi R Hurdle | Nurse Practitioner | Scott Regional Medical Center, Inc | 1080 Hwy 35 S, Forest, MS 39074-9423 |
| Ruby L Lucroy | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Tina U Mabry | Nurse Practitioner | Scott Regional Medical Center, Inc | 24489 Hwy 80, Lake, MS 39092-3511 |
| Kristen T Carter | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Micah Ray Walker | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Melissa B Jackson | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Matthew A Ward | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Nahid Islam | Family Medicine | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Brandon L Mizell | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Street Address |
317 HWY 13 S |
| City | MORTON |
| State | MS |
| Zip | 39117-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Gainey | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Kristen T Carter | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Micah Ray Walker | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Melissa B Jackson | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Matthew A Ward | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Brandon L Mizell | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Leah Denise Phillips | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Frederick Flowers | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Larry F Gibson | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Joseph Shannon Davis | Certified Registered Nurse Anesthetist | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruby L Lucroy | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Nahid Islam | Family Medicine | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Norman E Jenkins | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Maggie Dawson | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| John Norris | Certified Registered Nurse Anesthetist | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Megan Otto | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Kathryn R Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Daniel M Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| City | MORTON |
| Zip Code | 39117 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MORTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Howard D 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.