CLAYTON MICHAEL CLARK (NPI# 1013575844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013575844 |
| Entity Type | Individual |
| Full Name | CLAYTON MICHAEL CLARK |
| Practice Address |
307 Trent Dr Durham NC 27710-3038 |
| Mailing Address |
1428 Ida St Apt K Durham NC 27705-3331 |
| Practice Telephone | 9196843786 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 275012 | NC | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP143683 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265503072 | Clayton Lohiau Clark | Chiropractor | 2828 Thousand Oaks, Suite 102, San Antonio, TX 78232 | 2006-11-13 |
| 1972128890 | Clayton Adam Clark | Counselor | 230 S Bemiston Ave Ste 920, Clayton, MO 63105-1907 | 2020-06-16 |
| 1205118460 | Clayton Rosell Clark | Dentist | 2635 Gateway Rd, Suite 101, Carlsbad, CA 92009-1753 | 2011-09-14 |
| Street Address |
307 TRENT DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376786905 | Deirdre K Thornlow | Registered Nurse | 307 Trent Dr, Dumc 3322, Durham, NC 27710-0001 | 2009-04-13 |
| 1477078343 | Margaret Lee Halladay | Registered Nurse | 307 Trent Dr, Durham, NC 27710-3038 | 2017-08-11 |
| 1730529520 | Lisa Mesqel' Peterson | Nurse Practitioner | 307 Trent Dr, Dumc 3322, Durham, NC 27710-3038 | 2013-06-26 |
| 1780906214 | Viteria Marie Harris-jackson | Registered Nurse | 307 Trent Dr, Durham, NC 27710-0001 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559800 | Caroline Traczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd # Hafs6670, Durham, NC 27705-4699 | 2020-08-18 |
| 1790334274 | Jocelyn Claire Hoffmann | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Bldg Room6670, Durham, NC 27705-4699 | 2019-09-08 |
| 1801355474 | Feven Measho | Nurse Anesthetist, Certified Registered | Duke University Hospital 2301 Erwin Rd Durham Nc 27710, Durham, NC 27710-0001 | 2019-03-13 |
| 1710461694 | Kevin Tirado Roman | Nurse Anesthetist, Certified Registered | 2301 Edwin Rd, Durham, NC 27710-0001 | 2018-09-18 |
| 1477062966 | Elena Bogdanova | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd Dumc 3094, Hafs Building Room 6670, Durham, NC 27710-0001 | 2017-09-27 |
| 1962852400 | Arnon Chamkasem | Nurse Anesthetist, Certified Registered | 5147 Torrey Pine Ln, Durham, NC 27713-6219 | 2016-06-15 |
| 1275989006 | Kenneth Madlangbayan | Nurse Anesthetist, Certified Registered | 207 Aaron Cir, Durham, NC 27713-2182 | 2016-05-11 |
| 1417254673 | Magdalena Sylwia Sobczyk | Nurse Anesthetist, Certified Registered | 5213 S. Alston Ave, Durham, NC 27713-4430 | 2011-02-23 |
| 1831259167 | Kelly Lochmuller | Nurse Anesthetist, Certified Registered | Dumc, 307 Trent Drive, Durham, NC 27710-0001 | 2006-12-08 |
| 1942315593 | Alaine Leslie Pribisko | Nurse Anesthetist, Certified Registered | Duke Medicine, Erwin Road, Durham, NC 27710-0001 | 2006-08-21 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.