Tina Clark (NPI# 1326583196, PAC ID# 8820371743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326583196 |
| PAC ID by PECOS | 8820371743 |
| Professional Enrollment ID | I20170220000198 |
| Full Name | Tina Clark |
| Organization Legal Name | HOLZER CLINIC LLC |
| Address |
500 Burlington Rd Jackson OH 45640-9360 |
| Phone Number | 7403958420 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890606008 |
| Number of Group Practice Members | 247 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361320 | HOLZER MEDICAL CENTER JACKSON |
| Address | Phone | Organization |
|---|---|---|
| 500 Burlington Rd, Jackson, OH 45640-9360 | 7403958420 | HOLZER CLINIC LLC |
| Organization Legal Name | HOLZER CLINIC LLC |
| Physicians | 257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mittra Esmaeili | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
| Antony Valentine | Family Medicine | Holzer Clinic LLC | 1051 4th Ave, Gallipolis, OH 45631-1612 |
| Mary Brown | Nurse Practitioner | Holzer Clinic LLC | 88 E Memorial Dr, Pomeroy, OH 45769-9569 |
| Wendi R Hanna | Nurse Practitioner | Holzer Clinic LLC | 170 Jackson Pike, Gallipolis, OH 45631-1539 |
| Rajesh Rajan | Nephrology | Holzer Clinic LLC | 280 Pattonsville Rd, Jackson, OH 45640-9452 |
| Sarah A Leger | Nurse Practitioner | Holzer Clinic LLC | 41861 Pomeroy Pike, Pomeroy, OH 45769-9473 |
| Eugenia Kay Mccoy | Certified Registered Nurse Anesthetist (crna) | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Sirintra Parnichyakorn | Physician Assistant | Holzer Clinic LLC | 204 2nd Ave, Gallipolis, OH 45631-1022 |
| Carlton W Herald | Internal Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Kenneth A Marshall | Pain Management | Holzer Clinic LLC | 2131 E State St, Athens, OH 45701-2138 |
| Street Address |
500 BURLINGTON RD |
| City | JACKSON |
| State | OH |
| Zip | 45640-9360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlton W Herald | Internal Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Aasia Butt | Internal Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Jonathan A Hess | Family Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Edwin Hissa | Orthopedic Surgery | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Joseph D Mcnamara | Nurse Practitioner | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Sohail Qayyum | Pathology | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Patricia Stiltner | Nurse Practitioner | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Deron Hammack | Family Medicine | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Russell A Hartwick Jr. | Family Medicine | 500 Burlington Rd, Suite 260, Jackson, OH 45640-9360 | |
| Paul Edmond Cowsar | Nurse Practitioner | Holzer Clinic LLC | 500 Burlington Rd, Jackson, OH 45640-9360 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanetta J Shriver | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | |
| David T Brown | Optometry | Craig R. Green, O.d. and Associates, Inc. | 260 E Main St, Jackson, OH 45640-1745 |
| Craig Roger Green | Optometry | Craig R. Green, O.d. and Associates, Inc. | 260 E Main St, Jackson, OH 45640-1745 |
| Deborah Mccartney Elliott | Chiropractic | 161 Pearl St, Jackson, OH 45640-1746 | |
| Richard Harris Billman II Ii | Optometry | 201 Columbia St, Jackson, OH 45640-1771 | |
| John Brooks Perry | Physical Therapy | 232 E Huron St, Jackson, OH 45640-2032 | |
| Joseph E Black | Psychologist, Clinical | 731 E Main St, Suite 13, Jackson, OH 45640-2100 | |
| Steven W Binns | Optometry | 731 E Main St, Suite 15, Jackson, OH 45640-2100 | |
| Hannah E Kitts | Nurse Practitioner | 731 E Main St, Suite 4, Jackson, OH 45640-2100 | |
| Leslie Risin | Psychologist, Clinical | 731 E Main St, Suite 13, Jackson, OH 45640-2100 | |
| Find all physicians in zip 45640 | |||
| City | JACKSON |
| Zip Code | 45640 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tina 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.