Katherine Clark (NPI# 1366424798, PAC ID# 6002980349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366424798 |
| PAC ID by PECOS | 6002980349 |
| Professional Enrollment ID | I20080804000554 |
| Full Name | Katherine Clark |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Address |
7740 Washington Village Dr Suite 130 Dayton OH 45458 |
| Phone Number | 9374338060 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840104360 |
| Number of Group Practice Members | 727 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360079 | KETTERING MEDICAL CENTER |
| 360026 | GREENE MEMORIAL HOSPITAL |
| 360360 | SOIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 | 9374338060 | ALLIANCE PHYSICIANS INC |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Physicians | 760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katresha Janiece Williams-ellington | Nurse Practitioner | Alliance Physicians Inc | 3300 Philadelphia Dr, Dayton, OH 45405-1919 |
| Rebecca Anne Reynolds | Nurse Practitioner | Alliance Physicians Inc | 2141 N Fairfield Rd B, Beavercreek, OH 45431-2579 |
| Whitney Nicole Clark | Certified Nurse Midwife (cnm) | Alliance Physicians Inc | 50 N Progress Dr, Xenia, OH 45385-2666 |
| Akil P. Patel | Neurosurgery | Alliance Physicians Inc | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 |
| Charles William Oberer | Gastroenterology | Alliance Physicians Inc | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-4204 |
| Rebecca Yeager | Family Medicine | Alliance Physicians Inc | 2145 N Fairfield Rd, Suite 100, Beavercreek, OH 45431-2580 |
| Jennifer Martin | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Stefanie Kristine Lewis | Family Medicine | Alliance Physicians Inc | 1045 Channingway Dr, Fairborn, OH 45324-9252 |
| Angela A Adams-harrison | Family Medicine | Alliance Physicians Inc | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3684 |
| Michelle Bizzarro | Nurse Practitioner | Alliance Physicians Inc | 3371 Kemp Rd, Beavercreek, OH 45431-2514 |
| Street Address |
7740 WASHINGTON VILLAGE DR SUITE 130 |
| City | DAYTON |
| State | OH |
| Zip | 45458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raja A Nazir | Interventional Cardiology | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Amy Byerly | Obstetrics/gynecology | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 100, Centerville, OH 45459-3994 |
| Caleb O Molokwu | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Frank Fasano | Orthopedic Surgery | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| David Bruce | General Surgery | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Stephen Fleischer | General Surgery | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 110, Dayton, OH 45459-3994 |
| Joel David Macy | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Eleia Serrano Reyes | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Laurie Ann Bankston | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Bruce G Hymon | Cardiovascular Disease (cardiology) | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Page | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Ammar Safar | Interventional Cardiology | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Andrew C Gantzer | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Victoria R Buckner | Internal Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Augusto Martinez | Colorectal Surgery (proctology) | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Peter Derussy | Internal Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Robert J Sawyer | Internal Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Janis A Roberts | Cardiovascular Disease (cardiology) | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| James Wes Halderman | Family Medicine | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Angelia M Mickle | Nurse Practitioner | Alliance Physicians Inc | 7740 Washington Village Dr, Suite 130, Dayton, OH 45458 |
| Find all physicians in zip 45458 | |||
| City | DAYTON |
| Zip Code | 45458 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DAYTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Katherine 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.