| Dr James Kenneth Seffinga Clark, MD | |
|
1 Medical Center Dr, Lebanon, NH 03756-0001 | |
| (603) 650-5000 | |
| Not Available |
| Full Name | Dr James Kenneth Seffinga Clark |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740336080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34260 (New Hampshire) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 24426 (Nebraska) | Primary |
| Entity Name | Chesapeake Radiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801815063 PECOS PAC ID: 4183619950 Enrollment ID: O20040420000329 |
| Entity Name | Chesapeake Diagnostic Imaging Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922056241 PECOS PAC ID: 3678524576 Enrollment ID: O20140422001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Kenneth Seffinga Clark, MD Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708-1904 Ph: (619) 709-5003 | Dr James Kenneth Seffinga Clark, MD 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-5000 |
Thomas Ray Burdick, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
William B. Zucconi, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Thomas Francis Delaney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-6600 | |
Dr. Jessica Margaret Sin, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Dr, Lebanon, NH 03756 Phone: 603-650-7650 | |
Dr. Harlan G Herr, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7650 | |
Matthew E Maeder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-4371 | |
Dr. Judith Austin-strohbehn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Department Of Radiology, Lebanon, NH 03756 Phone: 603-650-4477 Fax: 603-650-5455 |