David W Clark (NPI# 1265433940, PAC ID# 6608832142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1265433940 |
| PAC ID by PECOS | 6608832142 |
| Professional Enrollment ID | I20100629000168 |
| Full Name | David W Clark |
| Organization Legal Name | EM SPECIALISTS PA |
| Address |
9100 W 14th St Shawnee Mission KS 66204-4004 |
| Phone Number | 9136762214 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153452644 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9100 W 14th St, Shawnee Mission, KS 66204-4004 | 9136762214 | EM SPECIALISTS PA |
| Organization Legal Name | EM SPECIALISTS PA |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorene R Creasser | Nurse Practitioner | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Benjamin T Sundling | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Rebecca N Messerli | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| James A Mitts | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Grady Thiems | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Mikayla M Strief | Nurse Practitioner | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Heather Otwell | Nurse Practitioner | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| David M Finkle | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Behnam Raisdana | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Nathaniel S Brackett | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Street Address |
9100 W 14TH ST |
| City | SHAWNEE MISSION |
| State | KS |
| Zip | 66204-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary J Swingle-bauck | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Associates, Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Irfan Ahmad Handoo | Psychiatry | Psychiatry Associates of Kansas City Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Lorene R Creasser | Nurse Practitioner | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Robb A Aerni | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Associates, Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Robert J Weber | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Associates, Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| John S Yungmeyer | Diagnostic Radiology | Alliance Radiology Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Benjamin T Sundling | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| John L Pham | Internal Medicine | Inpatient Consultants of Kansas Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Patrick N Stoffel | Nurse Practitioner | Alliance Radiology Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Rebecca N Messerli | Emergency Medicine | Em Specialists Pa | 9100 W 14th St, Shawnee Mission, KS 66204-4004 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel S Mitchell | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Gregory A Trempy | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Jonathan E Ferns | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Melanie L Yunger | Nurse Practitioner | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Timothy R Lair | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Stacy Forrestt | Physician Assistant | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Kimberly A Cochran | Neurology | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Albert T Chmielewski | Family Practice | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Jason K Bessey | Family Practice | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Lauren J Bessey | Family Practice | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Find all physicians in zip 66204 | |||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SHAWNEE MISSION + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David W 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.