Kenneth B Clark (NPI# 1417903287, PAC ID# 7315943230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417903287 |
| PAC ID by PECOS | 7315943230 |
| Professional Enrollment ID | I20061016000426 |
| Full Name | Kenneth B Clark |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
612 Mocksville Ave Salisbury NC 28144-2732 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340015 | NOVANT HEALTH ROWAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | NOVANT MEDICAL GROUP INC | |
| 612 Mocksville Ave, Salisbury, NC 28144-2732 | NOVANT MEDICAL GROUP INC | |
| 810 Mitchell Ave, Salisbury, NC 28144-6253 | 7042165633 | NOVANT MEDICAL GROUP INC |
| 5145 Sellers Rd, Shallotte, NC 28470-3405 | 9107544572 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
612 MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip | 28144-2732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Robert Cervin | Pathology | Rowan Regional Pathology Associates P A | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Keith Edwin Penner | Certified Registered Nurse Anesthetist (crna) | Rowan Regional Medical Center Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Edward B Bostian | Certified Registered Nurse Anesthetist (crna) | Rowan Regional Medical Center Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Daniel L Holland | Hospitalist | Rowan Diagnostic Clinic Pa | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Graylan Byrd | Physician Assistant | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Stephanie R Exum | Psychiatry | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Gretchen D Huhnerkoch | Physician Assistant | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Beaulisa Lowdermilk Metcalf | Certified Registered Nurse Anesthetist (crna) | Rowan Regional Medical Center Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Amanda Varghese | Nurse Practitioner | Novant Medical Group Inc | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Edward P Hays Jr. | Emergency Medicine | Vep Rowan Ed PC | 612 Mocksville Ave, Salisbury, NC 28144-2732 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor M Rosado | Psychiatry | 650 Statesville Blvd, Suite 1, Salisbury, NC 28144-2216 | |
| Aron Christian Lippard | Physical Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Cynthia D Shierts | Nurse Practitioner | Metrolina Nephrology Associates Pa | 111 Dorsett Dr, Salisbury, NC 28144-2278 |
| Hayley Sue Sedell | Physical Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Kathy M Shelton Riek | Clinical Social Worker | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Nanci T Accetta | Occupational Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Christian Bowman | Qualified Speech Language Pathologist | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Brenda Belk Cupp | Nurse Practitioner | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Frank Alan Younce | Occupational Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Natalie A Errante | Nurse Practitioner | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Find all physicians in zip 28144 | |||
| City | SALISBURY |
| Zip Code | 28144 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALISBURY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth B 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.