Robert Clark (NPI# 1548249436, PAC ID# 5698960235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1548249436 |
| PAC ID by PECOS | 5698960235 |
| Professional Enrollment ID | I20110105000255 |
| Full Name | Robert Clark |
| Organization Legal Name | BAY SHORE DERMATOLOGY, PC |
| Address |
7550 Assunta Ct Fairhope AL 36532-3069 |
| Phone Number | 2519284944 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9638192263 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7550 Assunta Ct, Fairhope, AL 36532-3069 | 2519284944 | BAY SHORE DERMATOLOGY, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | BAY SHORE DERMATOLOGY, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Cheshire | Dermatology | Bay Shore Dermatology, PC | 7550 Assunta Ct, Fairhope, AL 36532-3069 |
| Street Address |
7550 ASSUNTA CT |
| City | FAIRHOPE |
| State | AL |
| Zip | 36532-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Cheshire | Dermatology | Bay Shore Dermatology, PC | 7550 Assunta Ct, Fairhope, AL 36532-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Townsend Corte | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Lea T Collins | Nurse Practitioner | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Regan M Andrade | Family Medicine | Fairhope Family Medicine, LLC | 21875 State Hwy 98, Fairhope, AL 36532 |
| Allan David Mills | Psychiatry | 761 B Middle St, Fairhope, AL 36532-1715 | |
| Sarah Gonzalez | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| John J Broderick Cantwell | Psychiatry | 770 Middle St, Fairhope, AL 36532-1766 | |
| Frances T Fuller | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Stephen E Winston | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Craig M Dowden | Family Medicine | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Karen Lynne Adams | Nurse Practitioner | Family Practice Associates of Montrose, Pa | 770 Middle St B, Fairhope, AL 36532-1766 |
| Find all physicians in zip 36532 | |||
| City | FAIRHOPE |
| Zip Code | 36532 |
| Specialty | DERMATOLOGY |
| City + Specialty | FAIRHOPE + DERMATOLOGY |
Please comment or provide details below to improve the information on Robert 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.