Amy B Clark (NPI# 1194074567, PAC ID# 5395996516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1194074567 |
| PAC ID by PECOS | 5395996516 |
| Professional Enrollment ID | I20121117000071 |
| Full Name | Amy B Clark |
| Organization Legal Name | MERCY HEALTH PHYSICIANS - NORTH, LLC. |
| Address |
2600 Navarre Ave Oregon OH 43616-3207 |
| Phone Number | 4192518983 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 2668522400 |
| Number of Group Practice Members | 394 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360081 | MERCY ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2600 Navarre Ave, Oregon, OH 43616-3207 | 4192518983 | MERCY HEALTH PHYSICIANS - NORTH, LLC. |
| Organization Legal Name | MERCY HEALTH PHYSICIANS - NORTH, LLC. |
| Physicians | 373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Vespie | Family Medicine | Mercy Health Physicians - North, LLC. | 2735 Navarre Ave, Suite 101, Oregon, OH 43616-3275 |
| Janille Ann Blaylock | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2702 Navarre Ave, Suite 320, Oregon, OH 43616-3224 |
| Shawn M Deats | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2495 W Market St, Tiffin, OH 44883-8450 |
| Miriam Medhkour | Family Medicine | Mercy Health Physicians - North, LLC. | 3851 Navarre Ave, Suite 200, Oregon, OH 43616-3671 |
| Matthew James Lazette | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 111 Clinton St, Maumee, OH 43537-2811 |
| Alyssa Nicole Banks | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 3425 Executive Pkwy, Suite 100, Toledo, OH 43606-1326 |
| Lisa L Leese | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2815 Dustin Rd, Suite C, Oregon, OH 43616-3497 |
| Michelle C Stoyell-conti | Clinical Psychologist | Mercy Health Physicians - North, LLC. | 1 Turtle Creek Cir F, Swanton, OH 43558-8539 |
| Erin C Marten | Certified Nurse Midwife (cnm) | Mercy Health Physicians - North, LLC. | 3715 Airport Hwy, Suite F, Toledo, OH 43615-7193 |
| Lori Morales | Psychologist, Clinical | Mercy Health Physicians - North, LLC. | 1 Turtle Creek Cir, Suite F, Swanton, OH 43558-8539 |
| Street Address |
2600 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip | 43616-3207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alec N Mian | Pathology | Associated Pathologists Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Tufal M Khan | Psychiatry | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Heather Polaski | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Kristin M Pierson | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Mary E Grant | Certified Clinical Nurse Specialist (cns) | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Wesley D Martus | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Monica R Gorcos | Psychiatry | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Christine D Miller | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Wendelin Kreifels | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Richard C Phinney | Hematology/oncology | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Cavaliere | Clinical Social Worker | 860 Ansonia St, Suite 13a, Oregon, OH 43616-3177 | |
| Donald Lyles | Chiropractic | 860 Ansonia St, Suite 12, Oregon, OH 43616-3193 | |
| Lawrence J Fanelly Jr. | Pathology | Associated Pathologists Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Sreekanth Venkata Indurti | Psychiatry | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Margaret G Krebs | Emergency Medicine | Mercy Emergency Care Services Inc | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Frank R Stump | Psychiatry | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Jasmine Marie Richards | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Shana R Wright | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Kara L Brown | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Darla J Miles | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 2600 Navarre Ave, Oregon, OH 43616-3207 |
| Find all physicians in zip 43616 | |||
| City | OREGON |
| Zip Code | 43616 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | OREGON + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Please comment or provide details below to improve the information on Amy B 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.