James M Clark (NPI# 1356304786, PAC ID# 4284638628) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356304786 |
| PAC ID by PECOS | 4284638628 |
| Professional Enrollment ID | I20100827000494 |
| Full Name | James M Clark |
| Organization Legal Name | PENNYRILE RADIOLOGY, PSC |
| Address |
215 W 17th St Hopkinsville KY 42240-1911 |
| Phone Number | 2708853414 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6507830692 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180051 | JENNIE STUART MEDICAL CENTER |
| 180095 | CRITTENDEN HEALTH SYSTEM |
| 180093 | BAPTIST HEALTH MADISONVILLE |
| 440039 | VANDERBILT UNIVERSITY MEDICAL CENTER |
| 440082 | SAINT THOMAS WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 215 W 17th St, Hopkinsville, KY 42240-1911 | 2708853414 | PENNYRILE RADIOLOGY, PSC |
| 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2708896025 | COMMONWEALTH OF KENTUCKY |
| 320 W 18th St, Hopkinsville, KY 42240-1965 | 2708876852 | PENNYRILE RADIOLOGY, PSC |
| Organization Legal Name | PENNYRILE RADIOLOGY, PSC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Charles D Ross | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Street Address |
215 W 17TH ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip | 42240-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Charles D Ross | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn Lee Triplett | Nurse Practitioner | 111 Derrick Pl, Hopkinsville, KY 42240-1325 | |
| Theresa S Clark | Registered Dietitian Or Nutrition Professional | 530 Noel Ave, Hopkinsville, KY 42240-1386 | |
| Travis N Calhoun | Internal Medicine | 538 B Noel Ave, Hopkinsville, KY 42240-1386 | |
| Mark J Edmunds | Podiatry | 101 N Dr, Hopkinsville, KY 42240-1603 | |
| Charles W Bosch | Otolaryngology | 1830 High St, Suite B, Hopkinsville, KY 42240-1746 | |
| Vinna D Denison | Family Medicine | 320 N Dr, Hopkinsville, KY 42240-1806 | |
| Christina Marie Polete | Nurse Practitioner | Hopkinsville Family Care Psc | 315 A W 16th St, Hopkinsville, KY 42240-1903 |
| Michelle Lynn Ross | Physician Assistant | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Kirk Dominic Cianciolo | Urology | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Jenny J Franke | Urology | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Find all physicians in zip 42240 | |||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HOPKINSVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on James M 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.