Summer Jo Clark (NPI# 1154736643, PAC ID# 8123248887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1154736643 |
| PAC ID by PECOS | 8123248887 |
| Professional Enrollment ID | I20190819002941 |
| Full Name | Summer Jo Clark |
| Organization Legal Name | PROFFER SURGICAL ASSOCIATES, LLP |
| Address |
1611 Wallace Blvd Amarillo TX 79106-1799 |
| Phone Number | 8063544900 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3678579232 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 8063544900 | PROFFER SURGICAL ASSOCIATES, LLP |
| Organization Legal Name | PROFFER SURGICAL ASSOCIATES, LLP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liana Proffer | Dermatology | Proffer Surgical Associates, LLP | 1611 Wallace Blvd, Amarillo, TX 79106-1799 |
| Patrick J Proffer | Plastic and Reconstructive Surgery | Proffer Surgical Associates, LLP | 1611 Wallace Blvd, Amarillo, TX 79106-1799 |
| Paul L Proffer | Ophthalmology | Proffer Surgical Associates, LLP | 1611 Wallace Blvd, Amarillo, TX 79106-1799 |
| Street Address |
1611 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip | 79106-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liana Proffer | Dermatology | Proffer Surgical Associates, LLP | 1611 Wallace Blvd, Amarillo, TX 79106-1799 |
| Patrick J Proffer | Plastic and Reconstructive Surgery | Proffer Surgical Associates, LLP | 1611 Wallace Blvd, Amarillo, TX 79106-1799 |
| Paul L Proffer | Ophthalmology | Proffer Surgical Associates, LLP | 1611 Wallace Blvd, Amarillo, TX 79106-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy L Unrau | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Aubrey L Smith | Orthopedic Surgery | 1600 Coulter, Bldg B, Amarillo, TX 79106 | |
| Mustafa Hussain | Psychiatry | 6900 I-40, Suite 285, Amarillo, TX 79106 | |
| Lorina Leanne Wilhelm | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Amarillo, TX 79106 |
| Robert E Jackson Iii | Nuclear Medicine | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Allegra Kinzer | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Leonard E Dodson | Endocrinology | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Michael O Lagrone | Orthopedic Surgery | 1600 S Coulter St B, Amarillo, TX 79106-0703 | |
| Chad M Kennedy | Orthopedic Surgery | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 | |
| Ronald T Morgan | Orthopedic Surgery | Thane Morgan, M.d.p.a. | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 |
| Find all physicians in zip 79106 | |||
| City | AMARILLO |
| Zip Code | 79106 |
| Specialty | DERMATOLOGY |
| City + Specialty | AMARILLO + DERMATOLOGY |
Please comment or provide details below to improve the information on Summer Jo 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.