Clark J Leslie (NPI# 1417039454, PAC ID# 4183657695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1417039454 |
| PAC ID by PECOS | 4183657695 |
| Professional Enrollment ID | I20101118001097 |
| Full Name | Clark J Leslie |
| Organization Legal Name | SOUTHEASTERN OHIO PHYSICIANS, INC. |
| Address |
100 Clark Ct Cambridge OH 43725-9395 |
| Phone Number | 74043256854 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7012940521 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360203 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER |
| 360109 | COSHOCTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Clark Ct, Cambridge, OH 43725-9395 | 74043256854 | SOUTHEASTERN OHIO PHYSICIANS, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_023_overall | Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_185_overall | Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SOUTHEASTERN OHIO PHYSICIANS, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Sarap | General Surgery | Southeastern Ohio Physicians, Inc. | 100 Clark Ct, Cambridge, OH 43725-9395 |
| Joseph O Ohanlon | General Surgery | Southeastern Ohio Physicians, Inc. | 100 Clark Ct, Cambridge, OH 43725-9395 |
| Joshua Alan Paulick | General Surgery | Southeastern Ohio Physicians, Inc. | 100 Clark Ct, Cambridge, OH 43725-9395 |
| Street Address |
100 CLARK CT |
| City | CAMBRIDGE |
| State | OH |
| Zip | 43725-9395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Sarap | General Surgery | Southeastern Ohio Physicians, Inc. | 100 Clark Ct, Cambridge, OH 43725-9395 |
| Joseph O Ohanlon | General Surgery | Southeastern Ohio Physicians, Inc. | 100 Clark Ct, Cambridge, OH 43725-9395 |
| Joshua Alan Paulick | General Surgery | Southeastern Ohio Physicians, Inc. | 100 Clark Ct, Cambridge, OH 43725-9395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Oaks | Psychiatry | State of Ohio Office of Budget and Management State Accounting | 66737 Toland Dr, Cambridge, OH 43725-1155 |
| Sandra Massullo-schubert | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Zachary C Rich | Physician Assistant | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Patrick D Goggin | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Stephen J Durant | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Rebecca A Brauch | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Douglas A Rush | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Tammy A Anderson | Nurse Practitioner | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Mark T Goggin | Internal Medicine | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Brittany J Burks | Physician Assistant | Medical Associates of Cambridge Inc | 1515 Maple Dr, Cambridge, OH 43725-1162 |
| Find all physicians in zip 43725 | |||
| City | CAMBRIDGE |
| Zip Code | 43725 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CAMBRIDGE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Clark J Leslie.
| 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.