Lisa Marie Clark (NPI# 1215998927, PAC ID# 6002709243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY ASSISTANT.
| Nation Provider ID (NPI) | 1215998927 |
| PAC ID by PECOS | 6002709243 |
| Professional Enrollment ID | I20190918000703 |
| Full Name | Lisa Marie Clark |
| Organization Legal Name | I U ANESTHESIOLOGY ASSOCIATES, LLC |
| Address |
550 University Blvd Indianapolis IN 46202-5149 |
| Phone Number | 3172740274 |
| Gender | F |
| Credential | AA |
| Graduation Year | 2003 |
| Primary Specialty | ANESTHESIOLOGY ASSISTANT |
| Group Practice PAC ID | 5395730303 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 550 University Blvd, Indianapolis, IN 46202-5149 | 3172740274 | I U ANESTHESIOLOGY ASSOCIATES, LLC |
| Organization Legal Name | I U ANESTHESIOLOGY ASSOCIATES, LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Kremer | Anesthesiology | I U Anesthesiology Associates, LLC | 550 N Merdian St, Indianapolis, IN 46202-5149 |
| Ji Hyun Lee | Anesthesiology | I U Anesthesiology Associates, LLC | 1120 S Dr Fesler Hall, Suite 204, Indianapolis, IN 46223 |
| Adam J Lemmon | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| John W Wolfe | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| Jennifer L Stewart | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| David R Okano | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| Gulraj Chawla | Anesthesiology | I U Anesthesiology Associates, LLC | 1801 N Senate Blvd, Indianapolis, IN 46202-5149 |
| Samantha A Evankovich | Anesthesiology Assistant | I U Anesthesiology Associates, LLC | 550 University Blvd, Indianapolis, IN 46202-5149 |
| David R Howard | Anesthesiology Assistant | I U Anesthesiology Associates, LLC | 550 University Blvd, Indianapolis, IN 46202-5149 |
| Chad Michael Solik | Anesthesiology | I U Anesthesiology Associates, LLC | 1120 S Dr Fesler Hall, Suite 204, Indianapolis, IN 46223 |
| Street Address |
550 UNIVERSITY BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46202-5149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Montgomery | Nurse Practitioner | Indiana Clinic Critical Care LLC | 550 University Blvd, Suite 1710, Indianapolis, IN 46202-5149 |
| Melissa A Craig | Nurse Practitioner | University Family Physicians, Inc. | 550 University Blvd, Uh1501, Indianapolis, IN 46202-5149 |
| Jessica Yesensky | Otolaryngology | University Otolaryngology Associates, Inc. | 550 University Blvd, Suite 3170, Indianapolis, IN 46202-5149 |
| Heather M Denger | Nurse Practitioner | University Surgeons Inc | 550 University Blvd, Indianapolis, IN 46202-5149 |
| Katherine A Pollard | Pulmonary Disease | Indiana Clinic Critical Care LLC | 550 University Blvd, Suite 1710, Indianapolis, IN 46202-5149 |
| Kerry Warner | Registered Dietitian Or Nutrition Professional | Indiana University Health Care Associates Inc | 550 University Blvd, Indianapolis, IN 46202-5149 |
| Chintan J Amin | Internal Medicine | Indiana University Health Care Associates Inc | 550 University Blvd, Indianapolis, IN 46202-5149 |
| Peter C Jenkins | General Surgery | University Surgeons Inc | 550 University Blvd, Indianapolis, IN 46202-5149 |
| Michelle R Laughlin | General Surgery | University Surgeons Inc | 550 University Blvd, Indianapolis, IN 46202-5149 |
| Unknown Sanna | Hospitalist | University Family Physicians, Inc. | 550 University Blvd, Uh1501, Indianapolis, IN 46202-5149 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha N Jahnke | Optometry | 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007 | |
| Elizabeth Ann Collins | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Julie D Dunlap | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Gabriel M Krause | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Jian Ye | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Anne E Cossu | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Molly Colgan Gerety | Certified Registered Nurse Anesthetist (crna) | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Alex J Serafin | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Senthilkumar Sadhasivam | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Find all physicians in zip 46202 | |||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
| Specialty | ANESTHESIOLOGY ASSISTANT |
| City + Specialty | INDIANAPOLIS + ANESTHESIOLOGY ASSISTANT |
Please comment or provide details below to improve the information on Lisa Marie 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.