MR. STEPHEN W. CLARK (NPI# 1437210630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437210630 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN W. CLARK |
| Credential | CRNA |
| Practice Address |
1130 Louisiana Ave Shreveport LA 71101-3908 |
| Mailing Address |
4950 Oak Point Dr Shreveport LA 71107-7409 |
| Practice Telephone | 6782271211 |
| Practice Fax Number | 3186784185 |
| Mailing Telephone | 3182271211 |
| Mailing Fax Number | 3186784185 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP01372 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1083039085 | Stephen Clark | Clinical Nurse Specialist | 1013 E Haines St, Philadelphia, PA 19138-1533 | 2014-02-27 |
| 1801136080 | Stephen Clark | Counselor | 2020 Taft Ave, Los Angeles, CA 90068-3623 | 2013-02-25 |
| 1316133093 | Stephen Jay Clark | Dentist | 8228 N Main St, Dayton, OH 45415-1641 | 2007-09-17 |
| 1780702225 | Stephen Donald Clark | Counselor | 10390 Us Highway 17 N, Wilmington, NC 28411-6878 | 2007-03-26 |
| 1801981477 | Stephen Lawrence Clark | Naturopath | 646 Center St, Wolfeboro, NH 03894 | 2006-10-03 |
| 1043249519 | Stephen Ned Clark | Chiropractor | 9100 Silverdale Way, Clark Chiropractic Neck & Back, Silverdale, WA 98383-8389 | 2006-06-30 |
| 1427086347 | Stephen Hone Clark | Dentist | 2820 E Flamingo Rd, #b, Las Vegas, NV 89121-5268 | 2006-06-29 |
| 1699717769 | Stephen Chris Clark | Dentist | 7200 S Pennsylvania Ave, Suite B, Oklahoma City, OK 73159-3336 | 2006-06-12 |
| 1477501419 | Stephen J. Clark | Dentist | 102 Ponemah Rd, Amherst, NH 03031-2827 | 2006-05-04 |
| Street Address |
1130 LOUISIANA AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457320616 | Mrunalini B Shah | Physical Medicine & Rehabilitation | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-03-17 |
| 1699966432 | Simba Ventures Hospital La, LLC | Psychiatric Unit | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-08-07 |
| 1053502294 | Simba Ventures Hospital La, LLC | General Acute Care Hospital | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-08-05 |
| 1629279468 | Shreveport Doctors' Hospital | Psychiatric Unit | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-05-30 |
| 1124229398 | Shreveport Doctors' Hospital | Rehabilitation Unit | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2007-05-29 |
| 1255492450 | Stephen C Smith | Nurse Anesthetist, Certified Registered | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-12-12 |
| 1912066556 | Thomas L. Smith | Nurse Anesthetist, Certified Registered | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-12-08 |
| 1861407298 | Doctors Hospital Er Group | Emergency Medicine | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-07-31 |
| 1528011673 | Shreveport Doctors Hospital 2003, Ltd. | General Acute Care Hospital | 1130 Louisiana Ave, Shreveport, LA 71101-3908 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1043728967 | Sarah Elizabeth Fitzhugh | Nurse Anesthetist, Certified Registered | 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 | 2018-01-12 |
| 1013386507 | Kurvis Antione Davis | Nurse Anesthetist, Certified Registered | 367 Carrollton Ave, Shreveport, LA 71105-3205 | 2015-09-15 |
| 1134519044 | Comfort Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9423 Acadiana Place Blvd, Shreveport, LA 71115-3704 | 2015-01-29 |
| 1598066599 | Kristi Rae Hylan | Nurse Anesthetist, Certified Registered | 848 Gladstone Blvd, Shreveport, LA 71104-4202 | 2010-11-06 |
| 1366773400 | Michael Jeff Lewis | Nurse Anesthetist, Certified Registered | 905 Crescent Rd, Shreveport, LA 71107-3908 | 2010-01-28 |
| 1669611463 | Kimberly Leach Grantham | Nurse Anesthetist, Certified Registered | 1171 Pelican Creek Dr, Shreveport, LA 71106-8539 | 2009-02-18 |
| 1477734820 | Red River Anesthesia Services, A.p.m.c. | Nurse Anesthetist, Certified Registered | 3217 Mabel Street, Shreveport, LA 71103-4022 | 2007-11-14 |
| 1164638474 | Gary Cornell Wilkins | Nurse Anesthetist, Certified Registered | 5850 Yarbrough, Shreveport, LA 71119 | 2007-05-15 |
| 1588750319 | Curtis James Ardoin | Nurse Anesthetist, Certified Registered | 1 St Mary Place, Pfs- Professional Billing, Shreveport, LA 71101 | 2006-10-05 |
| 1609960111 | Andrea Cariere Leazer | Nurse Anesthetist, Certified Registered | 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 | 2006-10-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MR. STEPHEN W. CLARK.
| 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.