Simon Clark (NPI# 1629335534, PAC ID# 7416183397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1629335534 |
| PAC ID by PECOS | 7416183397 |
| Professional Enrollment ID | I20150720001526 |
| Full Name | Simon Clark |
| Organization Legal Name | MIDWEST DIVISION-LRHC LLC |
| Address |
1500 State St Lexington MO 64067-1107 |
| Phone Number | 6602592203 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0941119150 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170176 | OVERLAND PARK REG MED CTR |
| 260190 | LEE'S SUMMIT MEDICAL CENTER |
| 261320 | LAFAYETTE REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2100 Se Blue Pkwy, Lee's Summit, MO 64063-1007 | 8162825000 | BLUE PARKWAY EMERGENCY PHYSICIANS LLC |
| 1500 State St, Lexington, MO 64067-1107 | 6602592203 | MIDWEST DIVISION-LRHC LLC |
| 10500 Quivira Rd, Overland Park, KS 66215-2306 | 9135415000 | BLUEJACKET EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | MIDWEST DIVISION-LRHC LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Rhadans | Family Medicine | Midwest Division-lrhc LLC | 3401 Pine St, Higginsville, MO 64037-1877 |
| Matthew E Nadler | Pain Management | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Melanie A Beal | Nurse Practitioner | Midwest Division-lrhc LLC | 1026 Main St, Lexington, MO 64067-1345 |
| Timothy A Hall | Obstetrics/gynecology | Midwest Division-lrhc LLC | 1280 W Us Hwy 40, Odessa, MO 64076-9612 |
| Adam J Henson | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Brent S Carlson | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Scott A Montgomery | Urology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Shehryar A Malik | Family Medicine | Midwest Division-lrhc LLC | 1280 W Us Hwy 40, Odessa, MO 64076-9612 |
| Peter T Phan | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Arthur M Weisman | Podiatry | Midwest Division-lrhc LLC | 3401 Pine St, Higginsville, MO 64037-1877 |
| Street Address |
1500 STATE ST |
| City | LEXINGTON |
| State | MO |
| Zip | 64067-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew E Nadler | Pain Management | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Adam J Henson | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Brent S Carlson | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Scott A Montgomery | Urology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Peter T Phan | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Rick D Bendorf | Certified Registered Nurse Anesthetist (crna) | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Sreedhar Rama | Internal Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Anne L Morgan | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Rishi Grewal | Gastroenterology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Emily Claire Larson | Rheumatology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Mrosak | General Surgery | 1500 State St, Lexington, MO 64067-1107 | |
| Clinton Frederick Pickett | Orthopedic Surgery | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Dale H Wytock | Gastroenterology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Michael R Watts | Emergency Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Ryan B Utarnachitt | Gastroenterology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Joseph B Eisenach | Gastroenterology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| James E Lloyd | Certified Registered Nurse Anesthetist (crna) | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Ram Chandra | Family Medicine | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Avon C Coffman | Otolaryngology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Syed M Khalid | Gastroenterology | Midwest Division-lrhc LLC | 1500 State St, Lexington, MO 64067-1107 |
| Find all physicians in zip 64067 | |||
| City | LEXINGTON |
| Zip Code | 64067 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LEXINGTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Simon 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.