Christina L Clark (NPI# 1467515171, PAC ID# 9638107220) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467515171 |
| PAC ID by PECOS | 9638107220 |
| Professional Enrollment ID | I20050804000080 |
| Full Name | Christina L Clark |
| Organization Legal Name | ALSAN MEDICAL CLINIC PC |
| Address |
3130 Gratiot Ave Detroit MI 48207-2283 |
| Phone Number | 3135791860 |
| Gender | F |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9830127463 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230104 | HARPER UNIVERSITY HOSPITAL |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3130 Gratiot Ave, Detroit, MI 48207-2283 | 3135791860 | ALSAN MEDICAL CLINIC PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 5% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 11% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ALSAN MEDICAL CLINIC PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank M Clark | Family Medicine | Alsan Medical Clinic PC | 3130 Gratiot Ave, Detroit, MI 48207-2283 |
| Street Address |
3130 GRATIOT AVE |
| City | DETROIT |
| State | MI |
| Zip | 48207-2283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank M Clark | Family Medicine | Alsan Medical Clinic PC | 3130 Gratiot Ave, Detroit, MI 48207-2283 |
| Bernard Alper | Family Practice | Alsan Medical Clinic P.C. | 3130 Gratiot Ave, Detroit, MI 48207-2283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temitope O Olagbaiye | Nurse Practitioner | Professional Medical Center PC | 3956 Mount Elliott St, Detroit, MI 48207-1841 |
| George Edward Evans | General Practice | Professional Medical Center PC | 3956 Mount Elliott St, Detroit, MI 48207-1841 |
| Osamuedemen Iyoha | Psychiatry | Team Mental Health Services Inc | 6309 Mack Ave, Detroit, MI 48207-2302 |
| Jonnika Williams | Nurse Practitioner | Team Mental Health Services Inc | 3646 Mount Elliott St, Team Wellness Center, Detroit, MI 48207-2311 |
| Anwar J El-khatib | Physician Assistant | Team Mental Health Services Inc | 3646 Mount Elliott St, Team Wellness Center, Detroit, MI 48207-2311 |
| Yongyuth Senlamai | Internal Medicine | 3413 Mcdougall St, Detroit, MI 48207-2458 | |
| Denwit Sumetanon | Internal Medicine | 3413 Mcdougall St, Detroit, MI 48207-2458 | |
| Shealah Treece | Clinical Social Worker | Michael Lee Searcy Community and Development Center | 3131 Arndt St, Detroit, MI 48207-3247 |
| Carlo Fernandes | Internal Medicine | American Current Care of Michigan PC | 2630 E Jefferson Ave, Concentra Urgent Care, Detroit, MI 48207-4129 |
| Rohit Chetty | Family Medicine | American Current Care of Michigan PC | 2630 E Jefferson Ave, Concentra Urgent Care, Detroit, MI 48207-4129 |
| Find all physicians in zip 48207 | |||
| City | DETROIT |
| Zip Code | 48207 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DETROIT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christina L 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.