Edward F Clark (NPI# 1356318174, PAC ID# 5799683033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1356318174 |
| PAC ID by PECOS | 5799683033 |
| Professional Enrollment ID | I20050401000217 |
| Full Name | Edward F Clark |
| Organization Legal Name | HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD |
| Address |
283 N Pecos Rd Henderson NV 89074-1918 |
| Phone Number | 7024303570 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991866303 |
| Number of Group Practice Members | 287 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390009 | SAINT VINCENT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 283 N Pecos Rd, Henderson, NV 89074-1918 | 7024303570 | HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD |
| Organization Legal Name | HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD |
| Physicians | 273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bob Allen Ly | Endocrinology | Healthcare Partners Medical Group Coats Ltd | 2285 E Flamingo Rd, Suite 105, Las Vegas, NV 89119-5100 |
| Sandy Holder | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 745 S Green Valley Pkwy, Suite 160, Henderson, NV 89052-0439 |
| Mary-liberty Y Gibbs | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 6210 N Durango Dr Bldg, Suite 11, Las Vegas, NV 89149-3916 |
| Aura Cynthia Truelove | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 3960 W Craig Rd, 102 Healthcare Partners W Craig, N. Las Vegas, NV 89030-2750 |
| Rose Marie Mcintosh | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 821 N Nellis Blvd, Las Vegas, NV 89110-5339 |
| Kim Tatum | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 4500 W Oakey Blvd, Las Vegas, NV 89102-1527 |
| Gilbert Blancarte | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 210 N Sandhill Blvd, Mesquite, NV 89027-4789 |
| Shamail Butt | Hematology/oncology | Healthcare Partners Medical Group Coats Ltd | 2650 N Tenaya Way, Suite 201, Las Vegas, NV 89128-1102 |
| Leslie E Keck | Internal Medicine | Healthcare Partners Medical Group Coats Ltd | 2831 Business Park Ct, Suite 130, Las Vegas, NV 89128-9000 |
| Andrei Androssov | Family Medicine | Healthcare Partners Medical Group Coats Ltd | 5230 Boulder Hwy 110, Las Vegas, NV 89122-6077 |
| Street Address |
283 N PECOS RD |
| City | HENDERSON |
| State | NV |
| Zip | 89074-1918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charynne A Quinesares | Nurse Practitioner | Healthcare Partners Medical Group Coats Ltd | 283 N Pecos Rd, Henderson, NV 89074-1918 |
| Michael E Minev | Internal Medicine | Davita Medical Group Nevada Coats Ltd | 283 N Pecos Rd, Henderson, NV 89074-1918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn G Maschgan | Qualified Audiologist | 301 N Pecos Rd, Suite G, Henderson, NV 89074-1350 | |
| Thomas Robert Kroll | Optometry | 305 N Pecos Rd, Suite A, Henderson, NV 89074-1352 | |
| Joshua Smith | Physician Assistant | Family Doctors Ramanathan, Pllc | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Gregory Shoou-ren Hsu | Ophthalmology | 299 N Pecos Rd, Henderson, NV 89074-1918 | |
| Darryl W Horton | Nurse Practitioner | Family Doctors Ramanathan, Pllc | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Rachel E Smith | Physician Assistant | Family Doctors Ramanathan, Pllc | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Albert Or | Physician Assistant | Family Doctors Ramanathan, Pllc | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Claudine T Bae | Nurse Practitioner | Pouya Mohajer Md Ltd | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Patricia M Ganja | Physician Assistant | Pouya Mohajer Md Ltd | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Elisabeth G Ashe | Nurse Practitioner | Family Doctors Ramanathan, Pllc | 291 N Pecos Rd, Henderson, NV 89074-1918 |
| Find all physicians in zip 89074 | |||
| City | HENDERSON |
| Zip Code | 89074 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HENDERSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Edward F 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.