Cynthia D Clark (NPI# 1750808093, PAC ID# 9436412020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750808093 |
| PAC ID by PECOS | 9436412020 |
| Professional Enrollment ID | I20180412001811 |
| Full Name | Cynthia D Clark |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Address |
1420 Noah Gateway Ave Rockwood TN 37854 |
| Phone Number | 8653547799 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860396330 |
| Number of Group Practice Members | 346 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1420 Noah Gateway Ave, Rockwood, TN 37854 | 8653547799 | SUMMIT MEDICAL GROUP, PLLC |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Physicians | 391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Gray | Nurse Practitioner | Summit Medical Group, Pllc | 8635 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Jonathan Smith Dale | Family Medicine | Summit Medical Group, Pllc | 1208 Merchant Dr, Knoxville, TN 37912-4707 |
| Katherine Marie Stone | Family Medicine | Summit Medical Group, Pllc | 111 Station Dr, Maryville, TN 37804-4190 |
| Ashley N Smith | Nurse Practitioner | Summit Medical Group, Pllc | 4117 E Emory Rd, Knoxville, TN 37938-4229 |
| Jessica R Atchley | Nurse Practitioner | Summit Medical Group, Pllc | 641 Middle Creek Rd, Sevierville, TN 37862-5014 |
| Sara R Rowe | Nurse Practitioner | Summit Medical Group, Pllc | 6537 Kingston Pike, Knoxville, TN 37919-4826 |
| Allison L Suits | Physical Therapy | Summit Medical Group, Pllc | 103 Midlake Dr, Knoxville, TN 37918-3039 |
| Jacqueline Dotson | Nurse Practitioner | Summit Medical Group, Pllc | 103 Midlake Dr Level, Knoxville, TN 37918-3039 |
| Rachel W. Richards | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Marissa N Turner | Physician Assistant | Summit Medical Group, Pllc | 603 Smithview Dr, Maryville, TN 37803-6100 |
| Street Address |
1420 NOAH GATEWAY AVE |
| City | ROCKWOOD |
| State | TN |
| Zip | 37854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Walker | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1118 N Gateway Ave, Rockwood, TN 37854-4012 |
| City | ROCKWOOD |
| Zip Code | 37854 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Cynthia D 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.