Richard D Clark in Lansing - Nurse Anesthetist, Certified Registered
Richard D Clark - NPI 1659355121
Richard D Clark is a Nurse Anesthetist, Certified Registered in Lansing, Illinois. Richard D Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Richard D Clark is 1659355121. The last update date is 2010-05-21.
Richard D Clark's current location address is 18221 Torrence Ave, Lansing, Illinois. You can contact this provider via phone number 7088959450. The mailing address for Richard D Clark is 18221 Torrence Ave, Lansing, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard D Clark |
|---|---|
| Address | 18221 Torrence Ave, Lansing, Illinois |
| Phone Number | 7088959450 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RN ARNP CR |
NPI Number Detail
| NPI Number | 1659355121 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2010-05-21 |
Provider Mailing Address Detail
| Address | 18221 Torrence Ave |
|---|---|
| City | Lansing |
| State | Illinois (IL) |
| Post Code | 604382870 |
| Phone Number | 7088959450 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 54725 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161280 | BCBS OF KANSAS | ||
| 481192875 | HUMANA | ||
| P00155221 | RR MEDICARE | ||
| P13178 | PREMIER HEALTH PLANS | ||
| 27862039 | BCBS OF KANSAS CITY | ||
| 27862039 | PREFERRED HEALTH PROFESSI | ||
| 27862039 | PREFERRED CARE BLUE | ||
| 481192875 | UNITED HEALTH CARE | ||
| 481192875 | COVENTRY | ||
| 915697213 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard D Clark by the Centers for Medicare & Medicaid Services?
The Richard D Clark has been issued the NPI (National Provider Identifier) 1659355121 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Richard D Clark's physical address?
The Richard D Clark is physically located at 18221 Torrence Ave, in the city of Lansing, IL, with the postal code 604382870.
What is Richard D Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard D Clark is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659355121 to Richard D Clark?
The Centers for Medicare & Medicaid Services assigned the 1659355121 to Richard D Clark on 2005-11-30.
As of what date were the details pertaining to Richard D Clark last refreshed?
The information related to the Richard D Clark, including its address, specialty, and other relevant details, was last updated on 2010-05-21.
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