Clayton Michael Clark (NPI# 1013575844, PAC ID# 2163854308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013575844 |
| PAC ID by PECOS | 2163854308 |
| Professional Enrollment ID | I20191108002867 |
| Full Name | Clayton Michael Clark |
| Organization Legal Name | NORTHSTAR ANESTHESIA II PA |
| Address |
11801 S Fwy Burleson TX 76028-7021 |
| Phone Number | 8172939110 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2365701737 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450788 | THE CORPUS CHRISTI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11801 S Fwy, Burleson, TX 76028-7021 | 8172939110 | NORTHSTAR ANESTHESIA II PA |
| 3315 S Alameda St, Corpus Christi, TX 78411-1820 | 3617611400 | NORTHSTAR ANESTHESIA II PA |
| 7101 S Padre Island Dr, Corpus Christi, TX 78412-4913 | 8778829099 | NORTHSTAR ANESTHESIA II PA |
| Organization Legal Name | NORTHSTAR ANESTHESIA II PA |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haylee Kay Miller | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 1401 8th Ave, Fort Worth, TX 76104-4111 |
| Lynn C Andrews | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Natalie G Hudgeons | Anesthesiology | Northstar Anesthesia II Pa | 7101 S Padre Island Dr, Corpus Christi, TX 78412-4913 |
| Richard R Loeffler | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 |
| Victor Alfonso Guzman | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 3315 S Alameda St, Corpus Christi, TX 78411-1820 |
| Marian B Sussman | Anesthesiology | Northstar Anesthesia II Pa | 3315 S Alameda St, Corpus Christi, TX 78411-1820 |
| Terri Kane | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Kristina J Mayo | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Bethany S Peattie | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Erin L Schwarz | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Street Address |
11801 S FWY |
| City | BURLESON |
| State | TX |
| Zip | 76028-7021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn C Andrews | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Terri Kane | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Kristina J Mayo | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Bethany S Peattie | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Erin L Schwarz | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| James Furr | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Bonnie Schechter | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Ryan Austin Davis | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Leobardo Puga | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Marcus E Nealy | Anesthesiology | Northstar Anesthesia II Pa | 11801 S Fwy, Burleson, TX 76028-7021 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalton M Ryba | Podiatry | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
| Gurpreet S Bajaj | Orthopedic Surgery | Gurpreet S. Bajaj, M.d., P.a. | 215 Old Hwy 1187, Burleson, TX 76028-0281 |
| Von L Evans Jr. | Orthopedic Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
| John A Thomas | Orthopedic Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
| Jeffrey J Ratusznik | Orthopedic Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
| Alfonso B Barragan | Hand Surgery | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
| Christopher P Werner | Podiatry | 215 Old Hwy 1187, Burleson, TX 76028-0281 | |
| Jennifer Anne Barton | Physical Therapy | Cleburne Physical Therapy and Sports Rehabilitation Inc | 667 Ne Alsbury Blvd, Real Performance, Burleson, TX 76028-2660 |
| Lawrence A Whaley | Emergency Medicine | 671 Ne Alsbury Blvd, Suite B, Burleson, TX 76028-2660 | |
| Tyler Truitt | Physical Therapy | Cleburne Physical Therapy and Sports Rehabilitation Inc | 667 Ne Alsbury Blvd, Real Performance, Burleson, TX 76028-2660 |
| Find all physicians in zip 76028 | |||
| City | BURLESON |
| Zip Code | 76028 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BURLESON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Clayton Michael Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.