Norton Clark Physician Practices, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTON CLARK PHYSICIAN PRACTICES, LLC

Practice address

2205 Greentree N
Clarksville, IN 47129-8957

Phone

(812) 283-4441

NPI assigned

Jul 14, 2015

Last updated

Nov 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelley Gast

Title

VP Managed Care

Phone

(502) 272-5335

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, KY, NJ, CA, NV, AZ, OR, OH, CO, HI, KS, NY, GA, NC, FL, SC, VA, PA, IL, MO, WA, TX, DC, MI, WV, TN, NM, UT28 enrollments

Enrollment records 28

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Norton Clark Physician Practices, LLC

  dba Norton Clark Physician Practices

  • Urgent Care Clinic/Center
  • Sellersburg, IN
  • NPI 1063896637

  O20150730011797

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Norton Clark Hospital, LLC

  dba Norton Clark Hospital

  • General Acute Care Hospital
  • Jeffersonville, IN
  • NPI 1134186315

  Member Of

  NPD member

Locations

Practitioners 204

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John J. Anton, MD

  • Diagnostic Radiology Physician
  • Charleston, WV
  • NPI 1508860438
  Medicare reassignment Care Compare group NPD
• Michael E. Anton, MD

  • Diagnostic Radiology Physician
  • Charleston, WV
  • NPI 1740284371
  Medicare reassignment Care Compare group NPD
• Nathan Daniel Bennington, D.O.

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1972777589
  Medicare reassignment Care Compare group NPD
• Kenneth Duane Bowman, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1346278835

  IN

  Medicare reassignment Care Compare group NPD
• Jeffrey K Boyd, MD

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1508043522

  KY

  Medicare reassignment Care Compare group NPD
• Mark Alan Brinckman, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1548316136
  Medicare reassignment Care Compare group NPD
• Jennifer Chen, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1518345321
  Medicare reassignment Care Compare group NPD
• Benjamin Z. Cooper, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1568564300

  NJ

  Medicare reassignment Care Compare group NPD
• Victoria Edmond-Davis, MD

  • Diagnostic Radiology Physician
  • Brandon, FL
  • NPI 1265471676

  Family Medicine, VA

  Medicare reassignment Care Compare group NPD
• Adam David Evans, D.O.

  • Diagnostic Radiology Physician
  • Portsmouth, OH
  • NPI 1053748822
  Medicare reassignment Care Compare group NPD
• Tyler Jonathan Evans, D.O.

  • Neuroradiology Physician
  • Portsmouth, OH
  • NPI 1538494513
  Medicare reassignment Care Compare group NPD
• Martha H Garrison, MD

  • Diagnostic Radiology Physician
  • Decatur, GA
  • NPI 1942255757

  Family Medicine

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1083098651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 OLYMPIA PARK PLZ STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 GREENTREE N",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471298957",
            "telephone_number": "812-283-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON CLARK PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "502-272-5335"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nuyu Counseling LLC
• McKenna P O'Hare, RBT

• Internal Medicine Physician in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.