Saundra G Clark (NPI# 1972839934, PAC ID# 6204979206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972839934 |
| PAC ID by PECOS | 6204979206 |
| Professional Enrollment ID | I20100129000374 |
| Full Name | Saundra G Clark |
| Organization Legal Name | 219 HEALTH NETWORK INC |
| Address |
525 W Chicago Ave Suite 527 East Chicago IN 46312-3206 |
| Phone Number | 2193871342 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547521452 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150008 | ST CATHERINE HOSPITAL INC |
| 150125 | COMMUNITY HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 525 W Chicago Ave, Suite 527, East Chicago, IN 46312-3206 | 2193871342 | 219 HEALTH NETWORK INC |
| Organization Legal Name | 219 HEALTH NETWORK INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Wilkins | Family Medicine | 219 Health Network Inc | 3432 169th St, Hammond, IN 46323-2542 |
| Gagandeep Kaur | Family Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Kantilal S Patel | Internal Medicine | 219 Health Network Inc | 525 W Chicago Ave, Suite 527, East Chicago, IN 46312-3206 |
| Michael C Hu | Obstetrics/gynecology | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Claudia M Rodriguez | Obstetrics/gynecology | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Anna S Hristova | Nurse Practitioner | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Eleazar E Calero | Internal Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Jun Dong Kim | Obstetrics/gynecology | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Fadia J Haddadin | Family Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Matthew Arnold Ramos Libiran | Family Medicine | 219 Health Network Inc | 100 W Chicago Ave, Suite F, East Chicago, IN 46312-3261 |
| Street Address |
525 W CHICAGO AVE SUITE 527 |
| City | EAST CHICAGO |
| State | IN |
| Zip | 46312-3206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kantilal S Patel | Internal Medicine | 219 Health Network Inc | 525 W Chicago Ave, Suite 527, East Chicago, IN 46312-3206 |
| Kimberly D Arthur | Obstetrics/gynecology | 219 Health Network Inc | 525 W Chicago Ave, Suite 527, East Chicago, IN 46312-3206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind K Kakodkar | Family Medicine | 3700 Main St, East Chicago, IN 46312-2224 | |
| Sandra Renee Gates Manna | Nurse Practitioner | Nwi Home Doctor LLC | 3847 Euclid Ave, East Chicago, IN 46312-2332 |
| Paul C Okolocha | Family Medicine | Nwi Home Doctor LLC | 3847 Euclid Ave, East Chicago, IN 46312-2332 |
| Prakash Varghese | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Frank Stirlacci | Internal Medicine | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Lolita O Ang | Psychiatry | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Felicia L Sanford | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Svetlana Medvedeva | Psychologist, Clinical | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Sheryl L Bolin | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Anthony S Pellegrini | Clinical Social Worker | Southlake Community Mental Health Center Inc | 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 |
| Find all physicians in zip 46312 | |||
| City | EAST CHICAGO |
| Zip Code | 46312 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EAST CHICAGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Saundra G 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.