John Mirrell Clark (NPI# 1609815786, PAC ID# 5698778785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1609815786 |
| PAC ID by PECOS | 5698778785 |
| Professional Enrollment ID | I20060810000002 |
| Full Name | John Mirrell Clark |
| Address |
3006 Mount Vernon Rd Suite 1070 Hurricane WV 25526-8865 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510022 | CHARLESTON AREA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3006 Mount Vernon Rd, Suite 1070, Hurricane, WV 25526-8865 |
| Street Address |
3006 MOUNT VERNON RD SUITE 1070 |
| City | HURRICANE |
| State | WV |
| Zip | 25526-8865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph B Marinacci | Chiropractic | 3857 Teays Valley Rd, Hurricane, WV 25526-0328 | |
| Aamir Cheema | Cardiovascular Disease (cardiology) | St. Mary's Medical Management, LLC | 147 Willow Tree Way, Hurricane, WV 25526-1085 |
| Jeffrey A Maynard Ii | Nurse Practitioner | University Physicians and Surgeons, Inc | 3109 Teays Valley Rd, Hurricane, WV 25526-1318 |
| Megan L Mcclain | Nurse Practitioner | University Physicians and Surgeons, Inc | 3109 Teays Valley Rd, Hurricane, WV 25526-1318 |
| Laura M Cadle | Nurse Practitioner | University Physicians and Surgeons, Inc | 3109 Teays Valley Rd, Hurricane, WV 25526-1318 |
| Hilda J Maxwell | Optometry | 167 Progress Way, Hurricane, WV 25526-7450 | |
| Leonard F Allen | Maxillofacial Surgery | Drs. Allen,krajekian and Brock Inc. | 100 A Prestige Park, Hurricane, WV 25526-8417 |
| David Arthur Felder Jr. | Orthopedic Surgery | Charleston Area Medical Center, Inc. | 1206 Hospital Dr, Hurricane, WV 25526-8708 |
| Ryan R Cicenas | Internal Medicine | Charleston Area Medical Center, Inc. | 1206 Hospital Dr, Hurricane, WV 25526-8708 |
| Stephanie L Dillon | Family Medicine | Valley Health Systems, Inc | 1100 Hospital Dr, Hurricane, WV 25526-8712 |
| Find all physicians in zip 25526 | |||
| City | HURRICANE |
| Zip Code | 25526 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HURRICANE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John Mirrell 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.