David A Clark (NPI# 1609830157, PAC ID# 7416951025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1609830157 |
| PAC ID by PECOS | 7416951025 |
| Professional Enrollment ID | I20060912000504 |
| Full Name | David A Clark |
| Organization Legal Name | SOUTH ALABAMA ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Address |
2126 W Roy Parker Rd Ozark AL 36360-8566 |
| Phone Number | 3344452663 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1996 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335143940 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010021 | DALE MEDICAL CENTER |
| 010049 | MEDICAL CENTER ENTERPRISE |
| 010055 | FLOWERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2126 W Roy Parker Rd, Ozark, AL 36360-8566 | 3344452663 | SOUTH ALABAMA ORTHOPEDICS AND SPORTS MEDICINE, PC |
| 2126 W Roy Parker Rd, Suite 201, Ozark, AL 36360-8566 | 3344452663 | SOUTH ALABAMA ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Organization Legal Name | SOUTH ALABAMA ORTHOPEDICS AND SPORTS MEDICINE, PC |
| Physicians | 1 |
| Street Address |
2126 W ROY PARKER RD |
| City | OZARK |
| State | AL |
| Zip | 36360-8566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarik Y Farrag | Otolaryngology | South Otolaryngology-head and Neck Surgery, LLC | 2126 W Roy Parker Rd, Ozark, AL 36360-8566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Hutchinson | Optometry | 1537 Hwy 231 S, Ozark, AL 36360 | |
| Luna U Sy | Internal Medicine | 324 White Ave, Ozark, AL 36360-0908 | |
| Hunter K Clark | Nurse Practitioner | Dale Medical Center | 633 S Union Ave, Ozark, AL 36360-1836 |
| Jeffrey A Dixon | Nurse Practitioner | Dale Medical Center | 633 S Union Ave, Ozark, AL 36360-1836 |
| Connie A Chandler | Family Medicine | Dale Medical Center | 145 Katherine Ave, Ozark, AL 36360-1976 |
| Ronald D Alfano | Cardiovascular Disease (cardiology) | 179 Katherine Ave, Ozark, AL 36360-1976 | |
| Taylor D Caffey | Family Medicine | 370 James St, Suite 101, Ozark, AL 36360-2015 | |
| Chris S Fox | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 126 Hospital Ave, Ozark, AL 36360-2018 |
| Trey S Burg | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 100 Hospital Ave, Ozark, AL 36360-2018 |
| Richard E Lucky | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 100 Hospital Ave, Ozark, AL 36360-2018 |
| Find all physicians in zip 36360 | |||
| City | OZARK |
| Zip Code | 36360 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OZARK + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on David A 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.