Shawn Clark, DO | |
2094 E State St Ste A, Salem, OH 44460-4409 | |
(330) 337-2868 | |
(330) 337-2875 |
Full Name | Shawn Clark |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 2094 E State St Ste A, Salem, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073938973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0000000000000 (Ohio) | Secondary |
208600000X | Surgery | 34-012867 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Regional Medical Center | Salem, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sch Professional Corporation | 0941291868 | 55 |
Entity Name | Sch Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619959822 PECOS PAC ID: 0941291868 Enrollment ID: O20040520000126 |
Mailing Address | Practice Location Address |
---|---|
Shawn Clark, DO 2094 E State St Ste A, Salem, OH 44460-4409 Ph: (330) 337-2868 | Shawn Clark, DO 2094 E State St Ste A, Salem, OH 44460-4409 Ph: (330) 337-2868 |
Dr. William S Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St, Suite A, Salem, OH 44460 Phone: 330-337-2868 Fax: 330-337-2875 | |
Dr. Ivan Darrell Pugh Jr., DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St, Suite A, Salem, OH 44460 Phone: 330-337-2868 Fax: 330-337-2875 | |
Dr. Jonathan Pulido, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St, Suite A, Salem, OH 44460 Phone: 330-337-2868 Fax: 330-337-2875 | |
Danny E Sankovic, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 E State Street, Salem, OH 44460 Phone: 330-337-6000 Fax: 330-337-1272 | |
John Robert Madison, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St Ste D, Salem, OH 44460 Phone: 330-337-7316 Fax: 330-337-1765 |