AUSTIN CLARK (NPI# 1922633932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922633932 |
| Entity Type | Individual |
| Full Name | AUSTIN CLARK |
| Credential | CCP |
| Practice Address |
3 Maryland Farms Ste 200 Brentwood TN 37027-5780 |
| Practice Telephone | 6153455400 |
| Mailing Telephone | 6153455400 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605080 | Austin Roy Clark | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2019-05-28 |
| 1811454184 | Austin Jeremiah Sy Clark | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-02-22 |
| 1114414638 | Austin Scott Clark | Behavior Technician | 5815 Bay Rd Ste 600, Saginaw, MI 48604-2543 | 2018-04-19 |
| 1588109078 | Austin F Clark | Student in an Organized Health Care Education/Training Program | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 | 2016-12-20 |
| Street Address |
3 MARYLAND FARMS STE 200 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-5780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063400281 | Bryan D. Borsum | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2005-10-11 |
| 1891394383 | Monika Murray | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-26 |
| 1174123608 | Ralph Landon Shoemaker | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-26 |
| 1164021994 | Alexia Jacobs | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-22 |
| 1508473323 | Megan Neckelmann | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-09-25 |
| 1861009698 | Rachel Rayl | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-09-25 |
| 1528670338 | Nelson Mujica | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-21 |
| 1447862859 | Nassour Kheir | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-18 |
| 1104437698 | Scott Evenson | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-10 |
| 1992314934 | Brody Blackburn | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437698 | Scott Evenson | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-08-10 |
| 1356962013 | Renee Ingham | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-05-04 |
| 1497380257 | Felicia Turtle | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-03-11 |
| 1902431687 | William Moskalik | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-03-03 |
| 1821620667 | Kayla Gardner | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-02-10 |
| 1891327649 | Nathan Roepke | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-02-10 |
| 1982234779 | Sccrh, LLC | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-01-21 |
| 1891331898 | Huong Tran | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-11-25 |
| 1376101519 | Amanda Cerqua | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-06-03 |
| 1265090419 | Robert Fletcher | Perfusionist | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2019-06-03 |
| Find all providers in BRENTWOOD | ||||
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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.