Christina Blume Clark (NPI# 1609194596, PAC ID# 4082917257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1609194596 |
| PAC ID by PECOS | 4082917257 |
| Professional Enrollment ID | I20190410001950 |
| Full Name | Christina Blume Clark |
| Organization Legal Name | FOUNDATION RADIOLOGY GROUP PC |
| Address |
727 Hospital Dr Shelbyville KY 40065-1660 |
| Phone Number | 4122308200 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3779683537 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180016 | JEWISH HOSPITAL - SHELBYVILLE |
| Address | Phone | Organization |
|---|---|---|
| 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 4122308200 | FOUNDATION RADIOLOGY GROUP PC |
| 727 Hospital Dr, Shelbyville, KY 40065-1660 | 4122308200 | FOUNDATION RADIOLOGY GROUP PC |
| Organization Legal Name | FOUNDATION RADIOLOGY GROUP PC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azize Sahin | Diagnostic Radiology | Foundation Radiology Group PC | 11 Atwood Sq, Unit 1, Boston, MA 02130-3115 |
| Imanual Somers-dehaney | Diagnostic Radiology | Foundation Radiology Group PC | 8353 S Sagebrush Rd, North Platte, NE 69101-0472 |
| Terry P Prince | Diagnostic Radiology | Foundation Radiology Group PC | 4932 Watersong Way, Fort Pierce, FL 34949-9209 |
| Joseph M Bender | Diagnostic Radiology | Foundation Radiology Group PC | 121 E Robindale Rd, Las Vegas, NV 89123-1116 |
| Ranjan Stokes | Diagnostic Radiology | Foundation Radiology Group PC | 2435 Garden Way, Hermitage, PA 16148-5211 |
| Michael D Reiser | Diagnostic Radiology | Foundation Radiology Group PC | 13603 Stonebarn Ln, North Potomac, MD 20878-3912 |
| Todd M Blodgett | Diagnostic Radiology | Foundation Radiology Group PC | 2300 Southampton Dr, Pittsburgh, PA 15241-3300 |
| Palam Annamalai | Interventional Radiology | Foundation Radiology Group PC | 3205 Salisbury Ct, Friendswood, TX 77546-2532 |
| Latika Sinha | Diagnostic Radiology | Foundation Radiology Group PC | 565 Coal Valley Rd, Clairton, PA 15025-3703 |
| James K Cooper | Diagnostic Radiology | Foundation Radiology Group PC | 1705 Renaissance Blvd, Suite 150, Edmond, OK 73013-3054 |
| Street Address |
727 HOSPITAL DR |
| City | SHELBYVILLE |
| State | KY |
| Zip | 40065-1660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas C Damhoff | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Barbara B Carpenter | Nurse Practitioner | Komg-louisville Region Inc | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Alexandra Rose Mudd | Physician Assistant | Komg-louisville Region Inc | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Martin William Brooks | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Bradford L Cottrell | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Annette L Green | Nurse Practitioner | Komg-louisville Region Inc | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Brian Marcum | Emergency Medicine | Komg-louisville Region Inc | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Rosalie S Gray | Certified Registered Nurse Anesthetist (crna) | Komg-louisville Region Inc | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Jonathan W Goldstein | Internal Medicine | Komg-louisville Region Inc | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Shawn C Mccarty | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Bowersox | Optometry | Bowersox Vision Center, Psc | 403 Washington St, Shelbyville, KY 40065-1127 |
| Stuart Boyd Young | Optometry | Bowersox Vision Center, Psc | 403 Washington St, Shelbyville, KY 40065-1127 |
| Lauren M Mckinch | Optometry | Bowersox Vision Center, Psc | 403 Washington St, Shelbyville, KY 40065-1127 |
| Kenneth R Gravett | Family Medicine | 517 Washington St, Shelbyville, KY 40065-1129 | |
| Julie J Guyton | Clinical Social Worker | Whitten Psychological Services Pllc | 1028 Main St, Shelbyville, KY 40065-1315 |
| Curtis D Chandler | Psychologist, Clinical | Whitten Psychological Services Pllc | 1028 Main St, Shelbyville, KY 40065-1315 |
| Thomas E Hedden | Clinical Social Worker | Whitten Psychological Services Pllc | 1028 Main St, Shelbyville, KY 40065-1315 |
| Michael E Whitten | Psychologist, Clinical | Whitten Psychological Services Pllc | 1028 Main St, Shelbyville, KY 40065-1315 |
| Jack C Moore Ii | Family Medicine | Komg-louisville Region Inc | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1619 |
| David Maddox | Internal Medicine | Komg-louisville Region Inc | 515 Hospital Dr, Suite 1, Shelbyville, KY 40065-1619 |
| Find all physicians in zip 40065 | |||
| City | SHELBYVILLE |
| Zip Code | 40065 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SHELBYVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Christina Blume 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.