Chad M Clark
GASTON RADIOLOGY PA


Address: 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Phone: 7048644378

Chad M Clark (NPI# 1275517831, PAC ID# 6800862160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1275517831
PAC ID by PECOS 6800862160
Professional Enrollment ID I20040908000607
Full Name Chad M Clark
Organization Legal Name GASTON RADIOLOGY PA
Address 620 Summit Crossing Place
Suite 106
Gastonia
NC 28054-2176
Phone Number 7048644378
Gender M
Credential MD
Medical School WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 4082680806
Number of Group Practice Members 19
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340032 GASTON MEMORIAL HOSPITAL, INC.
340113 CAROLINAS MEDICAL CENTER/BEHAV HEALTH

Other Locations

Address Phone Organization
620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176 7048644378 GASTON RADIOLOGY PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 91%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 90%

Organization Information

Organization Legal Name GASTON RADIOLOGY PA
Physicians 19

Physicians with the same organization

Name Specialty Organization Address
John D Creasy Diagnostic Radiology Gaston Radiology Pa 336 Burtonwood Dr, Gastonia, NC 28054-4054
Christopher J Vandermeer Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Mark T Edge Diagnostic Radiology Gaston Radiology Pa 2525 Court Dr, Gastonia, NC 28054-2140
Renee Raimondi Deweese Diagnostic Radiology Gaston Radiology Pa 1212 Spruce St, Belmont, NC 28012-3385
Myrosia T Mitchell Diagnostic Radiology Gaston Radiology Pa 2525 Court Dr, Gastonia, NC 28054-2140
Bryan J Barboza Physician Assistant Gaston Radiology Pa 2525 Court Dr, Gastonia, NC 28054-2140
Richard S Herring Diagnostic Radiology Gaston Radiology Pa 209 Park St, Belmont, NC 28012-5205
Robert W Miller Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Stephen John Lostetter Jr. Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Mark W Memolo Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176

Office Location

Street Address 620 SUMMIT CROSSING PLACE
SUITE 106
City GASTONIA
State NC
Zip 28054-2176

Physicians in the same location

Name Specialty Organization Address
Christopher J Vandermeer Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Robert W Miller Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Stephen John Lostetter Jr. Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Mark W Memolo Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Gregory J Duellman Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Annamarie Reddin Collier Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Heidi J Hartman Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
George John Hatsios Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Douglas Mark Johnson Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Kevin Dul Diagnostic Radiology Gaston Radiology Pa 620 Summit Crossing Place, Suite 106, Gastonia, NC 28054-2176
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Albert Whitaker Jr. Family Medicine 224 S New Hope Rd K, Gastonia, NC 28054-0020
Leanne R King Nurse Practitioner Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Kirsten G D Amore Physical Medicine and Rehabilitation Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Emily B Rayfield Nurse Practitioner Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
James E Harris Jr. Physician Assistant Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Julie C Cornwell Nurse Practitioner Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Lisa B Wilbanks Nurse Practitioner Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Rebecca H Brown Family Practice Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Nora D Paysour Nurse Practitioner Caromont Medical Group Inc 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460
Sharon L Heinrich Nurse Practitioner Hospice of Gaston County Inc 258 E Garrison Blvd, Gastonia, NC 28054-0460
Find all physicians in zip 28054

Competitor

Search similar physicians

City GASTONIA
Zip Code 28054
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty GASTONIA + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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