Dellie H Clark (NPI# 1417950734, PAC ID# 4688637291) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1417950734 |
| PAC ID by PECOS | 4688637291 |
| Professional Enrollment ID | I20061012000289 |
| Full Name | Dellie H Clark |
| Organization Legal Name | WOMANS CLINIC OF MONROE AMC |
| Address |
417 Mcmillan Rd West Monroe LA 71291-5325 |
| Phone Number | 3183227119 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1355357112 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| 190245 | MONROE SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 417 Mcmillan Rd, West Monroe, LA 71291-5325 | 3183227119 | WOMANS CLINIC OF MONROE AMC |
| Organization Legal Name | WOMANS CLINIC OF MONROE AMC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber M Shemwell | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Laura R Petty | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Laurie R Lebleu-vaszily | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Jason Wilson | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Won Lee | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Erin M Gullatt | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| David Bryan Sr. | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Terence Tugwell | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Dawn Pennebaker | Obstetrics/gynecology | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Sherry S Peveto | Nurse Practitioner | Womans Clinic of Monroe Amc | 312 Grammont St, Suite 300, Monroe, LA 71201-7403 |
| Street Address |
417 MCMILLAN RD |
| City | WEST MONROE |
| State | LA |
| Zip | 71291-5325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria T Durkee | Clinical Nurse Specialist | Physician Group of Louisiana Inc | 128 Ridgedale Dr, Suite 1, West Monroe, LA 71291-2017 |
| Kaleb K Deshotel | Chiropractic | 811 Cypress St, West Monroe, LA 71291-2923 | |
| Steven R Crider | Infectious Disease | 405 Stella St A, West Monroe, LA 71291-2968 | |
| Mark S Debord | Clinical Social Worker | 212 Cypress St, West Monroe, LA 71291-3120 | |
| Anna Reardon | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Shandra Winbush | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Justin M. Rawls | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Melanie Massey | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Anne Colvin | Occupational Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Lauren A Sledge | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Find all physicians in zip 71291 | |||
| City | WEST MONROE |
| Zip Code | 71291 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WEST MONROE + OBSTETRICS/GYNECOLOGY |
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| 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.