Calvin Clark (NPI# 1811298458, PAC ID# 7214102383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811298458 |
| PAC ID by PECOS | 7214102383 |
| Professional Enrollment ID | I20120112000033 |
| Full Name | Calvin Clark |
| Organization Legal Name | UMC PHYSICIANS |
| Address |
602 Indiana Ave Lubbock TX 79415-3364 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830003631 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450686 | UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4004 82nd St, Lubbock, TX 79423-2065 | UMC PHYSICIANS | |
| 602 Indiana Ave, Lubbock, TX 79415-3364 | UMC PHYSICIANS |
| Organization Legal Name | UMC PHYSICIANS |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Dawn Gooss | Nurse Practitioner | Umc Physicians | 7501 Quaker Ave, Lubbock, TX 79424-3367 |
| Sydni Sprecher | Nurse Practitioner | Umc Physicians | 502 E Hwy 62, Wolfforth, TX 79382-2241 |
| Rebecca Fant | Nurse Practitioner | Umc Physicians | 6002 Slide Rd, D24, Lubbock, TX 79414-4310 |
| Emily Flathouse | Nurse Practitioner | Umc Physicians | 2703 82nd St, Lubbock, TX 79423-1429 |
| Jason Felton | Neurosurgery | Umc Physicians | 1701 50th St, Lubbock, TX 79412-2701 |
| Mackenzie D Nichols | Physician Assistant | Umc Physicians | 130 N 7th St, Slaton, TX 79364-4266 |
| Robert L Martinez | Nurse Practitioner | Umc Physicians | 5022 Ave Q, Lubbock, TX 79412-2700 |
| Patricia A Perez | Nurse Practitioner | Umc Physicians | 6809 Slide Rd, Suite J, Lubbock, TX 79424-1517 |
| Travis G King | Family Medicine | Umc Physicians | 7301 Milwaukee Ave, Lubbock, TX 79424-0626 |
| Angela M Hannaway | Physician Assistant | Umc Physicians | 1104 N Ave S, Post, TX 79356-2115 |
| Street Address |
602 INDIANA AVE |
| City | LUBBOCK |
| State | TX |
| Zip | 79415-3364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Honey Mae B Doctolero | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Nzonguti Ekangaki | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Kulia Kakarala | Diagnostic Radiology | University Medical Center Umc Radiology | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Ryan Daniel Lurtsema | Family Medicine | Lubbock County Hospital District | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Kimberly Melcher | Nurse Practitioner | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| John T Haley | Pediatric Medicine | Lubbock County Hospital District | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Suzanne Northcutt | Anesthesiology | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Jinesh Stephen Lachmansingh | Anesthesiology | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Meagan B Sheldon | Nurse Practitioner | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Skyler Meloy | Certified Registered Nurse Anesthetist (crna) | Texas Tech University Health Sciences Center Lubbock | 602 Indiana Ave, Lubbock, TX 79415-3364 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry M Landsman | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Megan Nicole Anthony | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Michelle Phillips | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Ronda L Barr | Family Medicine | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Life Barnard | Family Medicine | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Lisa Cordova | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Unit 110, Lubbock, TX 79415-1148 |
| Mary Anne Carroll | Obstetrics/gynecology | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 130, Lubbock, TX 79415-1150 |
| Jessica Martinez | Nurse Practitioner | Umc Physicians | 808 Joliet Ave, Lubbock, TX 79415-1150 |
| Brendan J Mackay | Hand Surgery | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 210, Lubbock, TX 79415-1158 |
| Erica Paige Carter | Nurse Practitioner | Texas Tech University Health Sciences Center Lubbock | 808 Joliet Ave, Unit 210, Lubbock, TX 79415-1158 |
| Find all physicians in zip 79415 | |||
| City | LUBBOCK |
| Zip Code | 79415 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUBBOCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Calvin 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.