Crystal S Clark (NPI# 1386073070, PAC ID# 6608005095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1386073070 |
| PAC ID by PECOS | 6608005095 |
| Professional Enrollment ID | I20140205001103 |
| Full Name | Crystal S Clark |
| Organization Legal Name | GREATER ANESTHESIA SOLUTIONS |
| Address |
5656 S Power Rd Gilbert AZ 85295-8487 |
| Phone Number | 4809842000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9234357906 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030037 | ST LUKE'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5656 S Power Rd, Gilbert, AZ 85295-8487 | 4809842000 | GREATER ANESTHESIA SOLUTIONS |
| Organization Legal Name | GREATER ANESTHESIA SOLUTIONS |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terence J Burrows | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 1800 E Van Buren St, Phoenix St Luke's, Phoenix, AZ 85006-3742 |
| Michael Reid Mercer | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 1800 E Van Buren St, Phoenix St Luke's, Phoenix, AZ 85006-3742 |
| Derek S Poulson | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Juancho C Depaolo | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 1800 E Van Buren St, Phoenix St Luke's, Phoenix, AZ 85006-3742 |
| Craig D Ryan | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Scott Shumway | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5880 S Hospital Dr, Globe, AZ 85501-9447 |
| Brandon W Jones | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Trevor Page | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Daphne A Louissaint | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 1800 E Van Buren St, Phoenix St Luke's, Phoenix, AZ 85006-3742 |
| Angela L Fountain | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 1800 E Van Buren St, Phoenix St Luke's, Phoenix, AZ 85006-3742 |
| Street Address |
5656 S POWER RD |
| City | GILBERT |
| State | AZ |
| Zip | 85295-8487 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bikramjit S Gill | Physician Assistant | Optimal Spine and Health Center Inc | 5656 S Power Rd, Suite 132, Gilbert, AZ 85295-8490 |
| Faith Ann Phillips | Nurse Practitioner | Heritage Technologies LLC | 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 |
| Derek S Poulson | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Craig D Ryan | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Brandon W Jones | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Trevor Page | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Joseph M Vella | Podiatry | Bradley L Newswander, Dpm Plc | 5656 S Power Rd, Suite 124, Gilbert, AZ 85295-8489 |
| Stuart M Shellenberger | Certified Registered Nurse Anesthetist (crna) | Greater Anesthesia Solutions | 5656 S Power Rd, Gilbert, AZ 85295-8487 |
| Nathan S Jeppesen | Podiatry | Bradley L Newswander, Dpm Plc | 5656 S Power Rd, Suite 124, Gilbert, AZ 85295-8489 |
| Syed Z Tahir | General Surgery | 5656 S Power Rd, B116, Gilbert, AZ 85295-8487 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Labroff | Optometry | 2174 E Williams Field Rd, Suite 124, Gilbert, AZ 85295-0748 | |
| Morgan Lobe | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Rakeshkumar C Patel | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Olivia R Anderson | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Thomas Y Tsai | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Zachary Ortiz | Family Medicine | Omg Arizona, LLC | 2196 E Williams Field Rd, Suite 116, Gilbert, AZ 85295-0755 |
| Karen M Trask | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Michelle Evelyn Gomez | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Cynthia M Armstrong | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Jenifer Clark | Nurse Practitioner | Kmtrask Pllc | 2200 E Williams Field Rd, Suite 200, Gilbert, AZ 85295-0764 |
| Find all physicians in zip 85295 | |||
| City | GILBERT |
| Zip Code | 85295 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GILBERT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Crystal S 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.