Kerry Clark (NPI# 1861436362, PAC ID# 7618267444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861436362 |
| PAC ID by PECOS | 7618267444 |
| Professional Enrollment ID | I20160606002643 |
| Full Name | Kerry Clark |
| Organization Legal Name | UNIVERSITY ORTHOPEDICS, INC. |
| Address |
100 Butler Dr Providence RI 02906-4862 |
| Phone Number | 4012770790 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931000395 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 Butler Dr, Providence, RI 02906-4862 | 4012770790 | UNIVERSITY ORTHOPEDICS, INC. |
| 2 Dudley St, Suite 200, Providence, RI 02905-3248 | 4014571504 | UNIVERSITY ORTHOPEDICS, INC. |
| 2 Dudley St, Providence, RI 02905-3248 | 4014571504 | UNIVERSITY ORTHOPEDICS, INC. |
| Organization Legal Name | UNIVERSITY ORTHOPEDICS, INC. |
| Physicians | 128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Limbird | Orthopedic Surgery | University Orthopedics, Inc. | 100 Butler Dr, Providence, RI 02906-4862 |
| Brad Douglas Blankenhorn | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Phillip Lucas | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Jaclyn Plante | Physical Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Nikola Babovic | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Valerie Gareau | Physical Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Edward Paxton | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Melissa Viens | Occupational Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Valentin Antoci | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Daniel Bien | Physical Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Street Address |
100 BUTLER DR |
| City | PROVIDENCE |
| State | RI |
| Zip | 02906-4862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Limbird | Orthopedic Surgery | University Orthopedics, Inc. | 100 Butler Dr, Providence, RI 02906-4862 |
| Laura Nelson | Occupational Therapy | University Orthopedics, Inc. | 100 Butler Dr, Providence, RI 02906-4862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jerry Scaramella | Psychiatry | 480 Hope St, Providence, RI 02906-1631 | |
| Lisa S Schachter | Clinical Social Worker | 475 Hope St, Providence, RI 02906-1639 | |
| Nancy S Remington | Certified Clinical Nurse Specialist (cns) | 475 Hope St, Providence, RI 02906-1639 | |
| Kathryn Roth | Clinical Social Worker | 475 Hope St, Suite 1, Providence, RI 02906-1639 | |
| Danielle M Jadin | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Alix Stockwood | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Albert J Pechie | Clinical Social Worker | Family Service of Rhode Island, Inc | 55 Hope St, Providence, RI 02906-2001 |
| Cynthia Rosengard | Psychologist, Clinical | 295 Angell St, Providence, RI 02906-2119 | |
| Michael Zola | Chiropractic | 144 Waterman St, Suite 2, Providence, RI 02906-2126 | |
| Leila K Oconnell | Clinical Social Worker | 144 Waterman St, Suite 1, Providence, RI 02906-2126 | |
| Find all physicians in zip 02906 | |||
| City | PROVIDENCE |
| Zip Code | 02906 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kerry 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.