Jessica L Clark (NPI# 1043768187, PAC ID# 9830471424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1043768187 |
| PAC ID by PECOS | 9830471424 |
| Professional Enrollment ID | I20170113002103 |
| Full Name | Jessica L Clark |
| Organization Legal Name | JOHNSTON CHIROPRACTIC CLINIC INC |
| Address |
109 Rhoades Ave Greenville OH 45331-2625 |
| Phone Number | 9375483610 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0749214666 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 109 Rhoades Ave, Greenville, OH 45331-2625 | 9375483610 | JOHNSTON CHIROPRACTIC CLINIC INC |
| Organization Legal Name | JOHNSTON CHIROPRACTIC CLINIC INC |
| Physicians | 1 |
| Street Address |
109 RHOADES AVE |
| City | GREENVILLE |
| State | OH |
| Zip | 45331-2625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristene Clark | Chiropractic | 109 Rhoades Ave, Greenville, OH 45331-2625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Crawford | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kara S Schultz | General Surgery | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Kenneth A Tyre Jr. | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Patrick Karr | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Andrew James Wourms | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Cassandra Patrick | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Stephen R Henderschedt | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Marian Owolabi | Nurse Practitioner | Hospital Care Group PC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Randall R Ralston | Anesthesiology | Kettering Anesthesia Associates, Inc | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Peter W Lachiewicz | Obstetrics/gynecology | Wayne Hospital Company Professional Services LLC | 835 Sweitzer St, Greenville, OH 45331-1007 |
| Find all physicians in zip 45331 | |||
| City | GREENVILLE |
| Zip Code | 45331 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GREENVILLE + 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.