Douglas P Clark (NPI# 1396797965, PAC ID# 8729009527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1396797965 |
PAC ID by PECOS | 8729009527 |
Professional Enrollment ID | I20051208000192 |
Full Name | Douglas P Clark |
Organization Legal Name | MOUNTAIN VIEW MEDICAL GROUP PC |
Address |
5575 Tech Ctr Dr Suite 106 Colorado Springs CO 80919-2349 |
Phone Number | 7195901177 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
Graduation Year | 1977 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3173410495 |
Number of Group Practice Members | 39 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
060022 | UNIVERSITY COLO HEALTH MEMORIAL HOSPITAL CENTRAL |
Address | Phone | Organization |
---|---|---|
4760 Flintridge Dr, Suite 200, Colorado Springs, CO 80918-4266 | 7195989446 | MOUNTAIN VIEW MEDICAL GROUP LLC |
4760 Flintridge Dr, Colorado Springs, CO 80918-4266 | 7195989446 | MOUNTAIN VIEW MEDICAL GROUP LLC |
5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 | 7195901177 | MOUNTAIN VIEW MEDICAL GROUP PC |
5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 | 7195901177 | MOUNTAIN VIEW MEDICAL GROUP PC |
8890 N Union Blvd, Colorado Springs, CO 80920-2701 | MOUNTAIN VIEW MEDICAL GROUP LLC |
Organization Legal Name | MOUNTAIN VIEW MEDICAL GROUP PC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsey M Diaz | Physician Assistant | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 |
Joyce E Michael | Family Practice | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 |
Allison J Scott | Physician Assistant | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 |
Nicole A Mckinney | Pediatric Medicine | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 |
Jill M Parker | Physician Assistant | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 |
Luanne Sperando | Pediatric Medicine | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 |
Street Address |
5575 TECH CTR DR SUITE 106 |
City | COLORADO SPRINGS |
State | CO |
Zip | 80919-2349 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsey M Diaz | Physician Assistant | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 |
Joyce E Michael | Family Practice | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 |
Allison J Scott | Physician Assistant | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 |
Nicole A Mckinney | Pediatric Medicine | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 |
Jill M Parker | Physician Assistant | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Colorado Springs, CO 80919-2349 |
Luanne Sperando | Pediatric Medicine | Mountain View Medical Group PC | 5575 Tech Ctr Dr, Suite 106, Colorado Springs, CO 80919-2349 |
Name | Specialty | Organization | Address |
---|---|---|---|
Craig B Johnson | Physician Assistant | Poudre Valley Medical Group LLC | 6615 Delmonico Dr, Colorado Springs, CO 80919-1809 |
Laura Lee Longwell | Internal Medicine | Poudre Valley Medical Group LLC | 6615 Delmonico Dr, Colorado Springs, CO 80919-1809 |
Martha K Schantz | Physician Assistant | Poudre Valley Medical Group LLC | 6615 Delmonico Dr, Colorado Springs, CO 80919-1809 |
Matthew T Peterson | Optometry | Peterson Family Eyecare | 6665 Delmonico Dr A, Colorado Springs, CO 80919-1895 |
David R Salek | Pain Management | Mark C Meyer Md LLC | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 |
Aaron D Smith | Plastic and Reconstructive Surgery | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 | |
Mark C Meyer | Anesthesiology | Mark C Meyer Md LLC | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 |
Gregory J Liebscher | Plastic and Reconstructive Surgery | 5901 Corporate Dr, Colorado Springs, CO 80919-1941 | |
Ronald G Salvaggione | Chiropractic | 405 Windchime Place, Co Spring Spine and In, Colorado Springs, CO 80919-1984 | |
Todd M Adams | Chiropractic | 405 Windchime Pl, Colorado Springs, CO 80919-1984 | |
Find all physicians in zip 80919 |
City | COLORADO SPRINGS |
Zip Code | 80919 |
Specialty | FAMILY PRACTICE |
City + Specialty | COLORADO SPRINGS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Douglas P 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.