John Mitchell Clarke (NPI# 1023110418, PAC ID# 6901941616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1023110418 |
| PAC ID by PECOS | 6901941616 |
| Professional Enrollment ID | I20100305000591 |
| Full Name | John Mitchell Clarke |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Address |
1615 Pasadena Ave S Suite 330 South Pasadena FL 33707-4567 |
| Phone Number | 7273452929 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | THORACIC SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 2264595941 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100126 | PALMS OF PASADENA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 3525966632 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| 11377 Cortez Blvd, Brooksville, FL 34613-5409 | 3525973060 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4567 | 7273452929 | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Organization Legal Name | COMMUNITY HOSPITAL FAMILY PRACTICE LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie D Coombs | Physician Assistant | Community Hospital Family Practice LLC | 201 14th St Sw, Largo, FL 33770-3133 |
| Anthony J Dedea | Family Medicine | Community Hospital Family Practice LLC | 11097 Hearth Rd, Spring Hill, FL 34608-3704 |
| Andrea Wislotsky | Nurse Practitioner | Community Hospital Family Practice LLC | 13540 Walshingham Rd, Largo, FL 33774-3546 |
| Morrissa L Soto | Certified Nurse Midwife (cnm) | Community Hospital Family Practice LLC | 4015 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Brent Rentfro | Physician Assistant | Community Hospital Family Practice LLC | 44 Veterans Ave, Brooksville, FL 34601-3215 |
| Jerry R Jacobs | Family Medicine | Community Hospital Family Practice LLC | 16332 Cortez Blvd, Unit F, Brooksville, FL 34601-8980 |
| Niloufer S Kero | Obstetrics/gynecology | Community Hospital Family Practice LLC | 11373 Cortez Blvd, Suite 207, Brooksville, FL 34613-5405 |
| Richard O Chlouber | Obstetrics/gynecology | Community Hospital Family Practice LLC | 4003 Mariner Blvd, Spring Hill, FL 34609-2466 |
| Timothy N Peterson | Family Medicine | Community Hospital Family Practice LLC | 7945 S Suncoast Blvd, Suite B, Homosassa, FL 34446-5005 |
| Frederick D Cason | General Surgery | Community Hospital Family Practice LLC | 11373 Cortez Blvd, Suite 208, Brooksville, FL 34613-5405 |
| Street Address |
1615 PASADENA AVE S SUITE 330 |
| City | SOUTH PASADENA |
| State | FL |
| Zip | 33707-4567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margo M Sardo | Family Medicine | Greater Tampa Bay Physician Network LLC | 1615 Pasadena Ave S, 430 Palms Internal Medicine, St. Petersburg, FL 33707-4521 |
| Heather Tate | Physician Assistant | West Florida Cardiology Network, LLC | 1615 Pasadena Ave S, Suite 300, South Pasadena, FL 33707-4567 |
| Thomas J Prebish | Internal Medicine | Community Hospital Family Practice LLC | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4567 |
| William H Minnix | Internal Medicine | Greater Tampa Bay Physician Network LLC | 1615 Pasadena Ave S, 430 Palms Internal Medicine, St. Petersburg, FL 33707-4521 |
| Bella Rebecca Worman | Podiatry | Worman Foot and Ankle Associates LLC | 1615 Pasadena Ave S, Suite 200, S.pasadena, FL 33707-4516 |
| Tim Carlson | Family Medicine | Greater Tampa Bay Physician Network LLC | 1615 Pasadena Ave S, 430 Palms Internal Medicine, St. Petersburg, FL 33707-4521 |
| Jeffrey A Worman | Podiatry | Worman Foot and Ankle Associates LLC | 1615 Pasadena Ave S, Suite 200, S.pasadena, FL 33707-4516 |
| Ernest Curt Rehnke | General Surgery | 1615 Pasadena Ave S, Suite460, South Pasadena, FL 33707-4567 | |
| David A Long | Internal Medicine | 1615 Pasadena Ave S, Suite 250, South Pasadena, FL 33707-4517 | |
| Melinda R Roskos | Cardiovascular Disease (cardiology) | West Florida Cardiology Network, LLC | 1615 Pasadena Ave S, South Pasadena, FL 33707-4567 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott E Kapulskey | Geriatric Medicine | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 | |
| Mark A Nowacki | Internal Medicine | 7011 1st Ave S, St Petersburg, FL 33707-1203 | |
| Rebeca Fajardo | Internal Medicine | Webber Primecare Medical Center LLC | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 |
| Jane E Kienle | Geriatric Medicine | Dean A Bramlet M D P A | 7111 1st S Ave, Saint Petersburg, FL 33707-1223 |
| Christopher Joseph Leto | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Timothy M Dunlevy | Otolaryngology | Pasadena Ent Pa | 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242 |
| Skye Dorsett Quamina | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Ricardo Requena | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Calli Keenan Fodor | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Helen L Techler | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Find all physicians in zip 33707 | |||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SOUTH PASADENA + GENERAL SURGERY |
Please comment or provide details below to improve the information on John Mitchell Clarke.
| 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.