Ashley Clark Medina (NPI# 1720372790, PAC ID# 5092986299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720372790 |
| PAC ID by PECOS | 5092986299 |
| Professional Enrollment ID | I20130508000562 |
| Full Name | Ashley Clark Medina |
| Organization Legal Name | MECKLENBURG RADIOLOGY ASSOCIATES PA |
| Address |
612 Mocksville Ave Salisbury NC 28144-2732 |
| Phone Number | 7042105000 |
| Gender | F |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6800789587 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340015 | NOVANT HEALTH ROWAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 7043844056 | MECKLENBURG RADIOLOGY ASSOCIATES PA |
| 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-2117 | 7043321291 | MECKLENBURG RADIOLOGY ASSOCIATES PA |
| 612 Mocksville Ave, Salisbury, NC 28144-2732 | 7042105000 | MECKLENBURG RADIOLOGY ASSOCIATES PA |
| Organization Legal Name | MECKLENBURG RADIOLOGY ASSOCIATES PA |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hicham S Ismail | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 4357 N Oval St, Dublin, OH 43017-5002 |
| Richard W Dunlop | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 118 Gateway Blvd, E, Mooresville, NC 28117-6542 |
| John W Black | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-2117 |
| Andrew J Sewalish | Physician Assistant | Mecklenburg Radiology Associates Pa | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| David M Scovill | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-2117 |
| Mark S Noble | Physician Assistant | Mecklenburg Radiology Associates Pa | 171 Fairview Rd, Mooresville, NC 28117-9500 |
| Tommy L Weaver | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-2117 |
| Cuong Nguyen | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 |
| Nneka T Jimoh | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-2117 |
| Brian H Hamilton | Diagnostic Radiology | Mecklenburg Radiology Associates Pa | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 |
| Street Address |
612 MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip | 28144-2732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Robert Cervin | Pathology | Rowan Regional Pathology Associates P A | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Keith Edwin Penner | Certified Registered Nurse Anesthetist (crna) | Rowan Regional Medical Center Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Edward B Bostian | Certified Registered Nurse Anesthetist (crna) | Rowan Regional Medical Center Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Daniel L Holland | Hospitalist | Rowan Diagnostic Clinic Pa | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Graylan Byrd | Physician Assistant | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Stephanie R Exum | Psychiatry | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Gretchen D Huhnerkoch | Physician Assistant | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Beaulisa Lowdermilk Metcalf | Certified Registered Nurse Anesthetist (crna) | Rowan Regional Medical Center Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Amanda Varghese | Nurse Practitioner | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Edward P Hays Jr. | Emergency Medicine | Vep Rowan Ed PC | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor M Rosado | Psychiatry | 650 Statesville Blvd, Suite 1, Salisbury, NC 28144-2216 | |
| Aron Christian Lippard | Physical Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Cynthia D Shierts | Nurse Practitioner | Metrolina Nephrology Associates Pa | 111 Dorsett Dr, Salisbury, NC 28144-2278 |
| Hayley Sue Sedell | Physical Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Kathy M Shelton Riek | Clinical Social Worker | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Nanci T Accetta | Occupational Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Christian Bowman | Qualified Speech Language Pathologist | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Brenda Belk Cupp | Nurse Practitioner | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Frank Alan Younce | Occupational Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Natalie A Errante | Nurse Practitioner | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Find all physicians in zip 28144 | |||
| City | SALISBURY |
| Zip Code | 28144 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALISBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ashley Clark Medina.
| 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.