Jonathan R Clark (NPI# 1154415156, PAC ID# 4486794583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154415156 |
| PAC ID by PECOS | 4486794583 |
| Professional Enrollment ID | I20091222000209 |
| Full Name | Jonathan R Clark |
| Organization Legal Name | EPHRAIM MCDOWELL HEALTH RESOURCE INC |
| Address |
110 Metker Trl Stanford KY 40484-1020 |
| Phone Number | 6062392452 |
| Gender | M |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517876956 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181315 | EPHRAIM MCDOWELL FORT LOGAN HOSPITAL |
| 180048 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 Metker Trl, Stanford, KY 40484-1020 | 6062392452 | EPHRAIM MCDOWELL HEALTH RESOURCE INC |
| Organization Legal Name | EPHRAIM MCDOWELL HEALTH RESOURCE INC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen Ware Jr. | Nurse Practitioner | Ephraim Mcdowell Health Resource Inc | 511 Middleburg St, Liberty, KY 42539-3009 |
| Katherine Kersey | Physician Assistant | Ephraim Mcdowell Health Resource Inc | 222 S 3rd St, Danville, KY 40422-1824 |
| Lauren Pingleton | Nurse Practitioner | Ephraim Mcdowell Health Resource Inc | 405 Danville St, Lancaster, KY 40444-1150 |
| John H Lacy | General Surgery | Ephraim Mcdowell Health Resource Inc | 130 Daniel Dr, Danville, KY 40422-2527 |
| Joseph Edmund Skurka | Podiatry | Ephraim Mcdowell Health Resource Inc | 216 W Walnut St, Suite A, Danville, KY 40422-1832 |
| Sharat Koul | Cardiovascular Disease (cardiology) | Ephraim Mcdowell Health Resource Inc | 280 Lincoln Dr, Springfield, KY 40069-1577 |
| Steven D Green | Family Medicine | Ephraim Mcdowell Health Resource Inc | 510 N Camp Dick Rd, Lancaster, KY 40444-6301 |
| Robert B Bemiss | Nurse Practitioner | Ephraim Mcdowell Health Resource Inc | 105 Ponder Ct, Suite 104, Danville, KY 40422-9050 |
| William R Rankin | Urology | Ephraim Mcdowell Health Resource Inc | 230 W Main St, Suite 102, Danville, KY 40422-1871 |
| Tracy F Galloway | Qualified Audiologist | Ephraim Mcdowell Health Resource Inc | 1250 Ben Ali Dr, Danville, KY 40422-8937 |
| Street Address |
110 METKER TRL |
| City | STANFORD |
| State | KY |
| Zip | 40484-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Davis | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Jennifer Lynn Merrick | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| John E Merryman Iii | General Surgery | Ephraim Mcdowell Health Resource Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Cynthia J Simpson | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Jesslyn Brianne Kelsey | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Judith A Anderson Sherman | Family Medicine | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Tamara J Muse | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Tamela Leigh Cook-mobley | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Deborah F Edelen | Nurse Practitioner | Emhfl Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Brian Merrick | Nurse Practitioner | Ephraim Mcdowell Health Resource Inc | 110 Metker Trl, Stanford, KY 40484-1020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Sims | Family Medicine | 102 Agricultural Way, Po Box 330, Stanford, KY 40484-0330 | |
| Eric N King | Optometry | 101 Us Hwy 150 Byp, Suite 117, Stanford, KY 40484-1000 | |
| William C Stafford | Family Practice | 110 Metker Trl, Stanford, KY 40484-1020 | |
| Peter Rock | Family Medicine | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Crystal Brown | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Rebecca Rankin | Physician Assistant | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Ashley Price | Physician Assistant | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Anita D Coffey | Clinical Social Worker | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Jeanne A Chase | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Jody Coomer | Nurse Practitioner | Bluegrass Clinic Stanford, Pllc | 107 Metker Trl, Suite A, Stanford, KY 40484-1049 |
| Find all physicians in zip 40484 | |||
| City | STANFORD |
| Zip Code | 40484 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STANFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jonathan R 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.