Edward Joseph Clark (NPI# 1053474080, PAC ID# 9830189000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053474080 |
| PAC ID by PECOS | 9830189000 |
| Professional Enrollment ID | I20040522000244 |
| Full Name | Edward Joseph Clark |
| Organization Legal Name | CAROLINA RADIOLOGY CONSULTANTS, PA |
| Address |
2138 Nc Hwy 42 W Johnston Medical Center Clayton Clayton NC 27520-5300 |
| Phone Number | 9195858456 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 0446240683 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340126 | WILSON MEDICAL CENTER |
| 340090 | JOHNSTON HEALTH |
| 340114 | REX HOSPITAL |
| 340040 | VIDANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 | 9195858456 | CAROLINA RADIOLOGY CONSULTANTS, PA |
| 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 | 9199347190 | CAROLINA RADIOLOGY CONSULTANTS, PA |
| 1705 S Tarboro St, Wilson, NC 27893-3428 | 2523998928 | CAROLINA RADIOLOGY CONSULTANTS, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 91% |
| Organization Legal Name | CAROLINA RADIOLOGY CONSULTANTS, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cary Frederick Bizzell | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 |
| Jared M Criddle | Interventional Radiology | Carolina Radiology Consultants, Pa | 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 |
| Jeffrey Emerson Jones | Interventional Radiology | Carolina Radiology Consultants, Pa | 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 |
| Jonathan L Lozevski | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 |
| James Michael Gannon | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 509 N Brightleaf Blvd, Johnston Medical Center Smithfield, Smithfield, NC 27577-4407 |
| Street Address |
2138 NC HWY 42 W JOHNSTON MEDICAL CENTER CLAYTON |
| City | CLAYTON |
| State | NC |
| Zip | 27520-5300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Reynolds | Physician Assistant | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Mateen Akhtar | Cardiovascular Disease (cardiology) | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Daree Russell | Internal Medicine | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Cary Frederick Bizzell | Diagnostic Radiology | Carolina Radiology Consultants, Pa | 2138 Nc Hwy 42 W, Johnston Medical Center Clayton, Clayton, NC 27520-5300 |
| Matthew A Hook | Cardiovascular Disease (cardiology) | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Purushotham Gorrey | Internal Medicine | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Emily A Johnson | Physician Assistant | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Vamsi K Sreedharala | Internal Medicine | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Bernard Carl Callis Campo | Physician Assistant | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Markiesha Edgerton | Nurse Practitioner | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Dries | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 11911 Us 70 Bus Hwy W, Clayton, NC 27520-2144 |
| Zina M Byrd | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 11911 Us 70 Bus Hwy W, Clayton, NC 27520-2144 |
| Yuliya O Benn | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 11911 Us 70 Bus Hwy W, Clayton, NC 27520-2144 |
| Melissa K Lower | Nurse Practitioner | Minuteclinic Diagnostic of North Carolina PC | 11911 Us 70 Bus Hwy W, Clayton, NC 27520-2144 |
| Nicholas D Adams | Podiatry | Carolina Foot Specialists Pllc | 555 Medical Park Pl, Suite 205, Clayton, NC 27520-2174 |
| James M Hopkins | Podiatry | Carolina Foot Specialists Pllc | 555 Medical Park Pl, Suite 205, Clayton, NC 27520-2174 |
| Paul J Talerico | Family Medicine | Carolina Spine and Disc Center | 11618 Us Hwy 70 W, Suite 106, Clayton, NC 27520-2276 |
| Jamica W Mcclammy | Physical Therapy | Carolina Spine and Disc Center | 11618 Us Hwy 70 W, Suite 106, Clayton, NC 27520-2276 |
| Anju Dheer | Physical Therapy | Carolina Spine and Disc Center | 11618 Us Hwy 70 W, Suite 106, Clayton, NC 27520-2276 |
| Julie A Belanger | Optometry | 501 Gateway Dr, Suite 102, Clayton, NC 27520-2278 | |
| Find all physicians in zip 27520 | |||
| City | CLAYTON |
| Zip Code | 27520 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CLAYTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Edward Joseph 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.