Heather Clark (NPI# 1467976696, PAC ID# 6103199989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467976696 |
| PAC ID by PECOS | 6103199989 |
| Professional Enrollment ID | I20170829004127 |
| Full Name | Heather Clark |
| Organization Legal Name | DEAN HEALTH SYSTEMS INC |
| Address |
540 Bowers Blvd Delavan WI 53115-1958 |
| Phone Number | 2627285568 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012827983 |
| Number of Group Practice Members | 907 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520208 | SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE |
| 520083 | SSM HEALTH ST MARY'S HOSPITAL - MADISON |
| Address | Phone | Organization |
|---|---|---|
| 1341 Park Ave, Columbus, WI 53925-1614 | 9206232431 | DEAN HEALTH SYSTEMS INC |
| 540 Bowers Blvd, Delavan, WI 53115-1958 | 2627285568 | DEAN HEALTH SYSTEMS INC |
| 525 Handeyside Ln, Suite 2, Fort Atkinson, WI 53538-1281 | 9205681986 | DEAN HEALTH SYSTEMS INC |
| 740 Reena Ave A, Fort Atkinson, WI 53538-3145 | 9205630888 | DEAN HEALTH SYSTEMS INC |
| 3200 E Racine St, Janesville, WI 53546-2343 | 6083718000 | DEAN HEALTH SYSTEMS INC |
| 1806 W Beltline Hwy, Madison, WI 53713-2334 | DEAN HEALTH SYSTEMS INC | |
| 1808 W Beltline Hwy, Madison, WI 53713-2334 | 6082606004 | DEAN HEALTH SYSTEMS INC |
| Organization Legal Name | DEAN HEALTH SYSTEMS INC |
| Physicians | 914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clare Tillman Kuehl | Nurse Practitioner | Dean Health Systems Inc | 225 Church St, Stoughton, WI 53589-1801 |
| Violet Margaret Laukant | Nurse Practitioner | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Paulina A Hall | Physician Assistant | Dean Health Systems Inc | 833 S Iowa St, Suite 102, Dodgeville, WI 53533-1900 |
| Kortney L Krueger | Physician Assistant | Dean Health Systems Inc | 103 Lake St, Deerfield, WI 53531-9455 |
| Kristine L Johnson | Family Medicine | Dean Health Systems Inc | 1700 Tuttle St, Suite 3, Baraboo, WI 53913-3319 |
| James E Christensen | Sports Medicine | Dean Health Systems Inc | 2501 W Beltline Hwy, Suite 601, Madison, WI 53713-2308 |
| Sara J Holland | Physician Assistant | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Jamie L Blavat | Optometry | Dean Health Systems Inc | 1025 S 2nd St, Delavan, WI 53115-3272 |
| Maria Z Din | Family Medicine | Dean Health Systems Inc | 752 N High Point Rd, Madison, WI 53717-2236 |
| Lori J Spencer | Nurse Practitioner | Dean Health Systems Inc | 1310 Broadway, Wisconsin Dells, WI 53965-1358 |
| Street Address |
540 BOWERS BLVD |
| City | DELAVAN |
| State | WI |
| Zip | 53115-1958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara J Holland | Physician Assistant | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Kathryn A Lilley | Internal Medicine | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Jennifer E Sauer | Physician Assistant | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Jill M Cousino | Obstetrics/gynecology | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Divya Sharma | Family Medicine | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| John R Keener | Family Medicine | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Timothy M Axe | Podiatry | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Craig A Kilroy-sikkema | Physician Assistant | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Eric R Lyerla | Family Medicine | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Harry R Ramsey | Internal Medicine | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara M Gill | Chiropractic | 104 E Walworth Ave, Suite 102, Delavan, WI 53115-1146 | |
| Joel M Sperling | Chiropractic | 107 N 3rd St, Delavan, WI 53115-1157 | |
| Richard N Terry | Family Medicine | Mercy Health System Corporation | 1038 E Geneva St, Delavan, WI 53115-1921 |
| Frank D Brodkey | Critical Care (intensivists) | Mercy Health System Corporation | 1038 E Geneva St, Delavan, WI 53115-1921 |
| Bart J Schmidt | Diagnostic Radiology | Mercy Health System Corporation | 1038 E Geneva St, Delavan, WI 53115-1921 |
| Rachel T Gronau | Family Medicine | Mercy Health System Corporation | 1038 E Geneva St, Delavan, WI 53115-1921 |
| Lisa A Wang | Nurse Practitioner | Mercy Health System Corporation | 1038 E Geneva St, Delavan, WI 53115-1921 |
| Clifford R Poplar | Internal Medicine | 915 E Geneva St, Delavan, WI 53115-1922 | |
| Christine L Weerts | Nurse Practitioner | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| James P Wise | Ophthalmology | Dean Health Systems Inc | 540 Bowers Blvd, Delavan, WI 53115-1958 |
| Find all physicians in zip 53115 | |||
| City | DELAVAN |
| Zip Code | 53115 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DELAVAN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Heather 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.