Katherine Jean Clark (NPI# 1205816394, PAC ID# 5799684544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205816394 |
| PAC ID by PECOS | 5799684544 |
| Professional Enrollment ID | I20031231000389 |
| Full Name | Katherine Jean Clark |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Address |
309 Pineywood Rd Thomasville NC 27360-3438 |
| Phone Number | 3364758121 |
| Gender | F |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9537071790 |
| Number of Group Practice Members | 457 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| 340085 | NOVANT HEALTH THOMASVILLE MEDICAL CENTER |
| 340096 | LEXINGTON MEMORIAL HOSPITAL INC |
| 340004 | HIGH POINT REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 309 Pineywood Rd, Thomasville, NC 27360-3438 | 3364758121 | FORSYTH MEMORIAL HOSPITAL INC |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Physicians | 378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Echols Bridges | Clinical Social Worker | Forsyth Memorial Hospital Inc | 485 Valley Rd, Mocksville, NC 27028-2074 |
| Meagan Early Cockfield | Nurse Practitioner | Forsyth Memorial Hospital Inc | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3813 |
| Chere Elizabeth Graham | Nurse Practitioner | Forsyth Memorial Hospital Inc | 903 Randolph St, Thomasville, NC 27360-5898 |
| Mayur Khandu Patel | Rheumatology | Forsyth Memorial Hospital Inc | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 |
| Amy L Puckett-lawson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 2133 Rockford St, Suite 1400, Mount Airy, NC 27030-6594 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mayra Cristina Beauchamp Bruno | Dermatology | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Winston Salem, NC 27103-6951 |
| Carrie J Merritt | Physician Assistant | Forsyth Memorial Hospital Inc | 105 Stadium Oaks Dr, Clemmons, NC 27012-8962 |
| Ana A Frunza | Family Medicine | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Brianna Lee Garrison | Physician Assistant | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| Street Address |
309 PINEYWOOD RD |
| City | THOMASVILLE |
| State | NC |
| Zip | 27360-3438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikita A Harrington | Nurse Practitioner | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Hope Isabel Louise Cohen Webb | Psychiatry | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Liju Varghese | Psychiatry | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Terrance P Johns | Internal Medicine | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Patrick M Gill | Internal Medicine | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Sirajuddin Ismail | Psychiatry | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Darren T Livingston | Clinical Social Worker | Forsyth Memorial Hospital Inc | 309 Pineywood Rd, Thomasville, NC 27360-3438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick H Jackson | Chiropractic | 630 National Hwy, Thomasville, NC 27360-2601 | |
| Ralph P Willett | Internal Medicine | Wake Forest University Health Sciences | 711 National Hwy, Suite 100, Thomasville, NC 27360-2668 |
| Amanda Marie Pickel | Nurse Practitioner | Cornerstone Health Care LLC | 711 National Hwy, Suite 500, Thomasville, NC 27360-2669 |
| John J Mckinney | Internal Medicine | Cornerstone Health Care LLC | 711 National Hwy, Suite 500, Thomasville, NC 27360-2669 |
| Leanne K Willis | Neurology | Novant Medical Group Inc | 1219 Lexington Ave, Suite B, Thomasville, NC 27360-2784 |
| Lisa Garces | Nurse Practitioner | Forsyth Memorial Hospital Inc | 1213 Lexington Ave, Suite B, Thomasville, NC 27360-3416 |
| Joseph Raymond Stringfellow | Obstetrics/gynecology | Novant Medical Group Inc | 1302 Lexington Ave, Thomasville, NC 27360-3419 |
| H Anthony Alexander | Internal Medicine | 1300 Lexington Ave, Thomasville, NC 27360-3419 | |
| Taylor C Sprague | Physician Assistant | Novant Medical Group Inc | 1302 Lexington Ave, Thomasville, NC 27360-3419 |
| Janice C Johnson | Nurse Practitioner | Novant Medical Group Inc | 1302 Lexington Ave, Thomasville, NC 27360-3419 |
| Find all physicians in zip 27360 | |||
| City | THOMASVILLE |
| Zip Code | 27360 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | THOMASVILLE + INTERNAL MEDICINE |
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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.