Paul Clark (NPI# 1225052467, PAC ID# 5395921670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1225052467 |
PAC ID by PECOS | 5395921670 |
Professional Enrollment ID | I20130821000356 |
Full Name | Paul Clark |
Organization Legal Name | EAGLEEYE RADIOLOGY INC |
Address |
120 Seaton Pl Nw Washington DC 20001-1623 |
Phone Number | 2024928624 |
Gender | M |
Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2004 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 4981755873 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
210011 | SAINT AGNES HOSPITAL |
491308 | RAPPAHANNOCK GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
120 Seaton Pl Nw, Washington, DC 20001-1623 | 2024928624 | EAGLEEYE RADIOLOGY INC |
Organization Legal Name | EAGLEEYE RADIOLOGY INC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul M Michaud | Diagnostic Radiology | Eagleeye Radiology Inc | 580 Leever Rd, Fort Sill, OK 73503-1245 |
David A Besachio | Diagnostic Radiology | Eagleeye Radiology Inc | 309 N Fairfax Cir, Salt Lake City, UT 84103-4435 |
Street Address |
120 SEATON PL NW |
City | WASHINGTON |
State | DC |
Zip | 20001-1623 |
Name | Specialty | Organization | Address |
---|---|---|---|
Theresa Claire Brady Novak | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
Jacquelyn M Horton | Clinical Social Worker | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
Cecillia Tsao | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
Shiban L Raina | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
Mir Javid | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
Deborah V Suchman | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
Anna Quast | Nurse Practitioner | Some Inc | 60 O Nwst, Washington, DC 20001-1259 |
Arda Kasaci | Psychiatry | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
Janelle Marie Mancuso | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
Theresa M. Owens | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
Find all physicians in zip 20001 |
City | WASHINGTON |
Zip Code | 20001 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | WASHINGTON + DIAGNOSTIC RADIOLOGY |
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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.