Johnathan Joseph Clark (NPI# 1538532361, PAC ID# 8921399338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1538532361 |
| PAC ID by PECOS | 8921399338 |
| Professional Enrollment ID | I20191217002736 |
| Full Name | Johnathan Joseph Clark |
| Organization Legal Name | SERENITY WELLNESS PLC |
| Address |
542 S State St Sparta MI 49345-1547 |
| Phone Number | 6168872178 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0244418523 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 374 Seminole Rd, Norton Shores, MI 49444-3718 | 6168872178 | SERENITY WELLNESS PLC |
| 542 S State St, Sparta, MI 49345-1547 | 6168872178 | SERENITY WELLNESS PLC |
| Organization Legal Name | SERENITY WELLNESS PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynnmarie Skipper Leyder | Chiropractic | Serenity Wellness Plc | 542 S State St, Sparta, MI 49345-1547 |
| Street Address |
542 S STATE ST |
| City | SPARTA |
| State | MI |
| Zip | 49345-1547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynnmarie Skipper Leyder | Chiropractic | Serenity Wellness Plc | 542 S State St, Sparta, MI 49345-1547 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George D Freeland | Chiropractic | 200 E Division St, Sparta, MI 49345-1463 | |
| Anne M Pfeffer | Optometry | 343 S Union St, Sparta, MI 49345-1531 | |
| Mark L Joseph | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Sarah Rodriguez | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Eric C Bouwens | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| John H Schneider | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Kelly S Wiersema | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Margaret F Vandewater | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Jarrad Montie Utter | Family Medicine | Advantage Health/saint Mary's Medical Group | 475 S State St, Sparta, MI 49345-1549 |
| Stephanie Theresa Leone | Clinical Social Worker | Hope Network Behavorial Health Services | 118 Ida Red Ave, Sparta, MI 49345-1714 |
| Find all physicians in zip 49345 | |||
| City | SPARTA |
| Zip Code | 49345 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SPARTA + CHIROPRACTIC |
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| 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.