Curtis R Clark Ii, MD | |
800 Wheeling Ave, Glen Dale, WV 26038-3357 | |
(304) 843-3270 | |
Not Available |
Full Name | Curtis R Clark Ii |
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Gender | Male |
Speciality | Anesthesiology |
Location | 800 Wheeling Ave, Glen Dale, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962449017 | NPI | - | NPPES |
2547944 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35087466 (Ohio) | Primary |
207L00000X | Anesthesiology | 21517 (West Virginia) | Secondary |
Entity Name | Mercer County Joint Township Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632 |
Entity Name | Adena Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
Mailing Address | Practice Location Address |
---|---|
Curtis R Clark Ii, MD 299 Township Road 1214, Ironton, OH 45638-8809 Ph: (304) 673-1020 | Curtis R Clark Ii, MD 800 Wheeling Ave, Glen Dale, WV 26038-3357 Ph: (304) 843-3270 |
Jesus M Maysonet, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202 | |
Dr. Matthew Joseph Watkins, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 |