Dana Clark (NPI# 1083066310, PAC ID# 8628348513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083066310 |
| PAC ID by PECOS | 8628348513 |
| Professional Enrollment ID | I20170726001050 |
| Full Name | Dana Clark |
| Organization Legal Name | ATLANTIC VEIN AND VASCULAR ASSOCIATES |
| Address |
329 Phillip Ave Suite 102 Virginia Beach VA 23454-4461 |
| Phone Number | 7574372882 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244414225 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490120 | CHESAPEAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 | 7574372882 | ATLANTIC VEIN AND VASCULAR ASSOCIATES |
| Organization Legal Name | ATLANTIC VEIN AND VASCULAR ASSOCIATES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory A Barber | Vascular Surgery | Atlantic Vein and Vascular Associates | 3509 Granby St, Norfolk, VA 23504-1312 |
| Tal S Bash | Vascular Surgery | Atlantic Vein and Vascular Associates | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Fredrick N Southern | Vascular Surgery | Atlantic Vein and Vascular Associates | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Michelle Lee Deschamplain | Vascular Surgery | Atlantic Vein and Vascular Associates | 112 Gainsborough Sq, Suite 100, Chesapeake, VA 23320-1706 |
| Street Address |
329 PHILLIP AVE SUITE 102 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23454-4461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Hubbard | Plastic and Reconstructive Surgery | 329 Phillip Ave, Virginia Beach, VA 23454-4380 | |
| Tal S Bash | Vascular Surgery | Atlantic Vein and Vascular Associates | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Fredrick N Southern | Vascular Surgery | Atlantic Vein and Vascular Associates | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Joseph P Mcdermott | General Surgery | Virginia Beach Surgery, Ltd | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Joseph Dalton | General Surgery | Virginia Beach Surgery, Ltd | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Martin G Ogrady | General Surgery | Virginia Beach Surgery, Ltd | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Riikka Mohorn | General Surgery | Virginia Beach Surgery, Ltd | 329 Phillip Ave, Suite 102, Virginia Beach, VA 23454-4461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devin Devoe Williams | Optometry | Virginia Beach Eye Center, PC | 465 N Geat Neck Rd, Virginia Beach, VA 23454 |
| David Lee Werwath | Emergency Medicine | 1788 Republic Dr, Suite 400, Virginia Beach, VA 23454 | |
| Martin Vt Ton | Pain Management | 1060 1st Colonial Rd, Virginia Beach, VA 23454 | |
| Christopher J Kurz | Ophthalmology | Virginia Beach Eye Center, PC | 465 N Geat Neck Rd, Virginia Beach, VA 23454 |
| Samuel Noel Garrett | Ophthalmology | Virginia Beach Eye Center, PC | 465 N Geat Neck Rd, Virginia Beach, VA 23454 |
| Leonard R Cajulis | Hospice/palliative Care | First Health Medical Practice | 1060 1st Colonial Rd, Virginia Beach, VA 23454-0685 |
| Gregory J Warth | Internal Medicine | First Health Medical Practice | 1060 1st Colonial Rd, Virginia Beach, VA 23454-0685 |
| Barbara L Parks | Internal Medicine | First Health Medical Practice | 1060 1st Colonial Rd, Virginia Beach, VA 23454-0685 |
| David James Tang | Optometry | Beach Eye Care Inc | 2173 Upton Dr, Suite 601, Virginia Beach, VA 23454-1288 |
| Jenni L Johnson | Optometry | Elizabeth M Borza Od Inc | 2201 Upton Dr, Suite 902, Virginia Beach, VA 23454-1292 |
| Find all physicians in zip 23454 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VIRGINIA BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Dana 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.