MR. RICHARD D CLARK (NPI# 1659355121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659355121 |
| Entity Type | Individual |
| Full Name | MR. RICHARD D CLARK |
| Credential | RN ARNP CRNA |
| Practice Address |
18221 Torrence Ave Lansing IL 60438-2870 |
| Practice Telephone | 7088959450 |
| Mailing Telephone | 7088959408 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2010-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 134677 | MO | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 1484659051 | KS | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 54725 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 09.006191 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 134677 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 54725 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMUNITY HEALTH PLAN | 10001771600 | 01 | |
| BCBS OF KANSAS | 161280 | 01 | |
| PREFERRED CARE BLUE | 27862039 | 01 | |
| HUMANA | 481192875 | 01 | |
| COVENTRY | 481192875 | 01 | |
| KANSAS MEDICAL ASSISTISTA | 100385650C | 01 | |
| CIGNA | 481192875 | 01 | |
| UNITED HEALTH CARE | 481192875 | 01 | |
| PREFERRED HEALTH PROFESSI | 27862039 | 01 | |
| BCBS OF KANSAS CITY | 27862039 | 01 | |
| MO | 915697213 | 05 | |
| RR MEDICARE | P00155221 | 01 | |
| PREMIER HEALTH PLANS | P13178 | 01 | |
| AETNA | 481192875 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366922684 | Richard Sheldon Clark | Counselor | 311 Penny Dr, Lithopolis, OH 43136-9704 | 2018-08-16 |
| 1871929000 | Richard H Clark | Chiropractor | 462 Warren Rd, Franklin, PA 16323-6544 | 2013-09-19 |
| 1770831901 | Richard Clark | Counselor | 2902 Jack Pine St, Bellevue, NE 68123-5519 | 2012-08-20 |
| 1285866079 | Richard C Clark IIi | Counselor | 800 Pineview Dr, Hattiesburg, MS 39401-7459 | 2009-08-13 |
| 1134318140 | Richard S Clark | Marriage & Family Therapist | 2801 Summit St Apt 307, Oakland, CA 94609-3643 | 2007-10-16 |
| 1023042470 | Richard R. Clark | Family Medicine | 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | 2006-07-10 |
| 1942249545 | Richard James Clark IIi | Dentist | 2300 Garrett Rd, Drexel Hill, PA 19026-1102 | 2006-06-06 |
| 1699744011 | Richard C Clark | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2006-03-16 |
| 1528059565 | Richard K Clark | Optometrist | 810 Ne 25th Ave, Ocala, FL 34470-6335 | 2005-10-31 |
| 1053316364 | Richard Don Clark | Family Medicine | 802 Wayne St, Ste 202, Marietta, OH 45750-3300 | 2005-06-15 |
| Street Address |
18221 TORRENCE AVE |
| City | LANSING |
| State | IL |
| Zip Code | 60438-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294279 | Adam Edward Cole | Nurse Anesthetist, Certified Registered | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2005-06-13 |
| 1316283468 | Zachary Tyler Smith | Nurse Anesthetist, Certified Registered | 18221 Torrence Ave, Suite 1-b, Lansing, IL 60438-2870 | 2012-12-18 |
| 1073733598 | Apms Medical, Ltd. | Durable Medical Equipment & Medical Supplies | 18221 Torrence Ave, Suite 1c, Lansing, IL 60438-2870 | 2007-04-26 |
| 1023154945 | Marcia Meggs | Anesthesiology | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2007-01-29 |
| 1740290055 | Nicholas P Guisto IIi | Anesthesiology | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2006-08-09 |
| 1104848258 | Julie A. Flynn | Nurse Anesthetist, Certified Registered | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2006-07-24 |
| 1891726345 | Interventional Pain Management, Ltd. | Anesthesiology | 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 | 2006-07-05 |
| 1669403069 | Kelly Jean Garry | Registered Nurse | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2006-07-05 |
| 1407803265 | Eileen Boetel | Nurse Anesthetist, Certified Registered | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2006-05-27 |
| 1992754089 | Stat Anesthesia Specialists, Ltd. | Anesthesiology | 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
| 1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
| 1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
| 1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
| 1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
| 1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
| 1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
| 1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
| 1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
| Find all providers in zip 60438 | ||||
| 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 |
|---|---|---|---|---|
| 1104219088 | Jonathon Glennon | Nurse Anesthetist, Certified Registered | 4604 Old Lansing Rd, Lansing, MI 48917-4458 | 2015-03-16 |
| 1437321692 | Maria-paz Salazar Shariff | Nurse Anesthetist, Certified Registered | 18221 Torrence Ave Ste 1b, Lansing, IL 60438-2870 | 2008-03-27 |
| 1144313784 | Erik Martin Forbord | Nurse Anesthetist, Certified Registered | 401 West Greenlawn Avenue, Lansing, MI 48910 | 2006-10-02 |
| 1841294279 | Adam Edward Cole | Nurse Anesthetist, Certified Registered | 18221 Torrence Ave, Lansing, IL 60438-2870 | 2005-06-13 |
| 1316550874 | Joshua Wissner | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-08-25 |
| 1225650526 | Anna Regan | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-05-11 |
| 1083275085 | Nathan Bryan Hanovich | Nurse Anesthetist, Certified Registered | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2019-06-21 |
| 1548827306 | Jonathan Straley | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2019-05-28 |
| 1376109926 | Kathleen Elizabeth Keating | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2019-05-18 |
| 1205324795 | Taylor Smith | Nurse Anesthetist, Certified Registered | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2018-04-30 |
| Find all providers in LANSING | ||||
Please comment or provide details below to improve the information on MR. RICHARD D 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.