John C Clark in Rochester - Nurse Anesthetist, Certified Registered

John C Clark - NPI 1710906573

John C Clark is a Nurse Anesthetist, Certified Registered in Rochester, New York. John C Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for John C Clark is 1710906573. The last update date is 2023-07-05.

John C Clark's current location address is 601 Elmwood Ave, Rochester, New York. You can contact this provider via phone number 5852755982 and fax number 5857560169. The mailing address for John C Clark is 601 Elmwood Ave, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John C Clark
Address 601 Elmwood Ave, Rochester, New York
Phone Number 5852755982
Fax Number 5857560169
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1710906573
Provider Enumeration Date 2006-07-19
Last Updated Date 2023-07-05

Provider Mailing Address Detail

Address 601 Elmwood Ave
City Rochester
State New York (NY)
Post Code 146420001
Phone Number 5852755982
Fax Number 5857560169

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 518327
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
G0189393590 NY BLUE CHOICE GROUP
2222 NY BLUE SHIELD GROUP

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FAQs about John C Clark

What is the unique 10-digit identification code assigned to John C Clark by the Centers for Medicare & Medicaid Services?

The John C Clark has been issued the NPI (National Provider Identifier) 1710906573, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John C Clark's facilities are situated?

The facilities of John C Clark are physically located at the following address: 601 Elmwood Ave, Rochester, NY, 146420001.

What is the area of specialization for John C Clark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John C Clark is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.

On what date did John C Clark receive its 1710906573 assignment from the Centers for Medicare & Medicaid Services?

The John C Clark was assigned its 1710906573 on 2006-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding John C Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John C Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-05.

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