Gina E Clark (NPI# 1790065399, PAC ID# 9234350166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790065399 |
| PAC ID by PECOS | 9234350166 |
| Professional Enrollment ID | I20141017002341 |
| Full Name | Gina E Clark |
| Organization Legal Name | STIGLER HEALTH AND WELLNESS CENTER INC |
| Address |
212 W Spaulding Checotah OK 74426-3806 |
| Phone Number | 9184730048 |
| Gender | F |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022061373 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371335 | HASKELL COUNTY COMMUNITY HOSPITAL |
| 040062 | MERCY HOSPITAL FORT SMITH |
| 370025 | SAINT FRANCIS HOSPITAL MUSKOGEE |
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| 371337 | EASTERN OKLAHOMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 212 W Spaulding, Checotah, OK 74426-3806 | 9184730048 | STIGLER HEALTH AND WELLNESS CENTER INC |
| 111 Forest Dr, Eufaula, OK 74432-4010 | 9186893333 | STIGLER HEALTH AND WELLNESS CENTER INC |
| 204 Wall St, Suite A, Poteau, OK 74953-4400 | 9186472155 | STIGLER HEALTH AND WELLNESS CENTER INC |
| 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 | 9187902653 | STIGLER HEALTH AND WELLNESS CENTER INC |
| 1505 E Main St, Stigler, OK 74462-2914 | 91896733682138 | STIGLER HEALTH AND WELLNESS CENTER INC |
| 806 Hwy 2 N, Wilburton, OK 74578-3625 | 9184650005 | STIGLER HEALTH AND WELLNESS CENTER INC |
| Organization Legal Name | STIGLER HEALTH AND WELLNESS CENTER INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johanna Lea | Clinical Social Worker | Stigler Health and Wellness Center Inc | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 |
| Austin B Byrum | Optometry | Stigler Health and Wellness Center Inc | 1505 E Main St, Stigler, OK 74462-2914 |
| Jami Dawn Herring | Nurse Practitioner | Stigler Health and Wellness Center Inc | 204 Wall St, Suite A, Poteau, OK 74953-4400 |
| Shamika Mack | Nurse Practitioner | Stigler Health and Wellness Center Inc | 212 W Spaulding, Checotah, OK 74426-3806 |
| Terry L Workman | Nurse Practitioner | Stigler Health and Wellness Center Inc | 111 Forest Dr, Eufaula, OK 74432-4010 |
| Jeanne R Guinn | Nurse Practitioner | Stigler Health and Wellness Center Inc | 1505 E Main St, Stigler, OK 74462-2914 |
| Sandra P Perry | Certified Nurse Midwife (cnm) | Stigler Health and Wellness Center Inc | 111 Forest Dr, Eufaula, OK 74432-4010 |
| Ashley Lynn Loewen | Clinical Social Worker | Stigler Health and Wellness Center Inc | 1630 S Kerr Blvd, Sallisaw, OK 74955-7240 |
| Karen Christine Smith | Nurse Practitioner | Stigler Health and Wellness Center Inc | 1505 E Main St, Stigler, OK 74462-2914 |
| Samantha L Pryor | Clinical Social Worker | Stigler Health and Wellness Center Inc | 111 Forest Dr, Eufaula, OK 74432-4010 |
| Street Address |
212 W SPAULDING |
| City | CHECOTAH |
| State | OK |
| Zip | 74426-3806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shamika Mack | Nurse Practitioner | Stigler Health and Wellness Center Inc | 212 W Spaulding, Checotah, OK 74426-3806 |
| Jamie Ann Lyons | Clinical Social Worker | Stigler Health and Wellness Center Inc | 212 W Spaulding, Checotah, OK 74426-3806 |
| Michael Collins | Psychiatry | Stigler Health and Wellness Center Inc | 212 W Spaulding, Checotah, OK 74426-3806 |
| Valerie Suzanne Kautz | Nurse Practitioner | Stigler Health and Wellness Center Inc | 212 W Spaulding, Checotah, OK 74426-3806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy W Hill | Optometry | 205 A W Okmulgee Ave, Checotah, OK 74426-2408 | |
| John F Rice | Family Medicine | 116 Sw 2nd St, Checotah, OK 74426-3602 | |
| Rebecca A Enloe | Optometry | Oe Care PC | 321 Se 2nd St, Checotah, OK 74426-4005 |
| City | CHECOTAH |
| Zip Code | 74426 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHECOTAH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gina E 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.