Jev A Clark (NPI# 1558622936, PAC ID# 4789921032) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1558622936 |
| PAC ID by PECOS | 4789921032 |
| Professional Enrollment ID | I20190124003489 |
| Full Name | Jev A Clark |
| Organization Legal Name | HOWERTON, HOPKIN AND KENNEDY LLC |
| Address |
2266 Mission St Se Salem OR 97302-1267 |
| Phone Number | 5033752000 |
| Gender | M |
| Medical School | UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 5496748089 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2266 Mission St Se, Salem, OR 97302-1267 | 5033752000 | HOWERTON, HOPKIN AND KENNEDY LLC |
| Organization Legal Name | HOWERTON, HOPKIN AND KENNEDY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel M Kennedy | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Joel K Hopkin | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| David Wesley Howerton | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Street Address |
2266 MISSION ST SE |
| City | SALEM |
| State | OR |
| Zip | 97302-1267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel M Kennedy | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Joel K Hopkin | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| David Wesley Howerton | Oral Surgery | Howerton, Hopkin and Kennedy LLC | 2266 Mission St Se, Salem, OR 97302-1267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy Jean Anderson | Psychologist, Clinical | 2264 Mcgilchrist St Se, Suite 100, Salem, OR 97302-1008 | |
| Bill L Hennings | Psychologist, Clinical | 2264 Mcgilchrist St Se, Suite 100, Salem, OR 97302-1008 | |
| Tyler Spalding Manson | Podiatry | Santiam Foot Clinic PC | 2235 Mission St Se, Suite 150, Salem, OR 97302-1294 |
| John T Callahan | Podiatry | Santiam Foot Clinic PC | 2235 Mission St Se, Suite 150, Salem, OR 97302-1294 |
| Barbara M Balowitz | Clinical Social Worker | 4035 12th St Cut Off Se, Suite 140, Salem, OR 97302-1754 | |
| Jennifer Carley | Nurse Practitioner | 4035 12th St Cutoff Se, Suite 120, Salem, OR 97302-1754 | |
| Mary K Outland | Clinical Social Worker | 4035 12th St Cutoff Se, Suite 140, Salem, OR 97302-1754 | |
| Nathan Patrick Johnson | Nurse Practitioner | 4035 12th St Cutoff Se, Suite 120, Salem, OR 97302-1754 | |
| Rita Herlong | Nurse Practitioner | 4035 12th St Cutoff Se, Suite 120, Salem, OR 97302-1754 | |
| Julia R Robertson | Chiropractic | 4666 Commercial St Se, Salem, OR 97302-1902 | |
| Find all physicians in zip 97302 | |||
| City | SALEM |
| Zip Code | 97302 |
| Specialty | ORAL SURGERY |
| City + Specialty | SALEM + ORAL SURGERY |
Please comment or provide details below to improve the information on Jev A 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.