DANIEL JAMES CLARK (NPI# 1003017229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017229 |
| Entity Type | Individual |
| Full Name | DANIEL JAMES CLARK |
| Credential | DO |
| Practice Address |
5330 S Highway 95 Fort Mohave AZ 86426-9225 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 9287887115 |
| Practice Fax Number | 7708745483 |
| Mailing Telephone | 7708745400 |
| Mailing Fax Number | 7708745483 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4799 | AZ | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | OP 60011959 | WA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 20A10260 | CA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | E-5858 | AR | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | 4708 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AR | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336771955 | Daniel Lee Clark | Contractor | 2151 Harvey Mitchell Pkwy S Ste 227, College Station, TX 77840-5242 | 2020-02-11 |
| 1043613649 | Daniel Clark | Nurse Practitioner | 3451 Bald Mountain Rd, Lake Orion, MI 48360-2401 | 2014-09-27 |
| 1124212345 | Daniel Curtis Clark | Chiropractor | 860 E. Remington Drive, Suite C, Sunnyvale, CA 94087-2913 | 2007-08-30 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1275757130 | Daniel Charles Clark | Social Worker | 3829 S Duquesne Rd, Joplin, MO 64804-5409 | 2007-04-12 |
| 1851308472 | Daniel John Clark | Dentist | 624 S High St, Hillsboro, OH 45133 | 2006-08-03 |
| 1184669210 | Daniel Stewart Clark | Chiropractor | 41060 Hayes Road, Clinton Township, MI 48038 | 2006-06-20 |
| 1548219256 | Daniel M Clark | Obstetrics & Gynecology | 4333 S Lowes Creek Rd, Eau Claire, WI 54701-7405 | 2006-05-09 |
| 1225093891 | Daniel Curtis Clark | Psychologist | 3196 Parliament Cir, Suite 400, Montgomery, AL 36116-7271 | 2006-04-18 |
| 1700487360 | Daniel Clark | Pharmacist | 660 S 1750 W, Springville, UT 84663-3071 | 2020-11-02 |
| Street Address |
5330 S HIGHWAY 95 |
| City | FORT MOHAVE |
| State | AZ |
| Zip Code | 86426-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456473 | Andres Alvarado | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2005-09-07 |
| 1265067920 | Rachel Otis | Spec/Tech, Pathology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2020-03-03 |
| 1144704933 | Kristen Peddycord | Nurse Practitioner | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-09-18 |
| 1649766981 | Phc-fort Mohave Inc | Medicare Defined Swing Bed Unit | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2018-07-10 |
| 1285163121 | Nes Arizona Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426 | 2017-06-05 |
| 1316483720 | Radiologic Associates of Northwest Arizona Plc | Radiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2017-01-09 |
| 1962959767 | Em Medical Management of Fort Mohave, LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2016-09-08 |
| 1598157745 | Fort Mohave Emergency Medical Associates Inc | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2015-02-25 |
| 1316354400 | Nathan Ethridge | Physician Assistant | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2014-07-21 |
| 1154758043 | Valley View Emergency Group LLC | Emergency Medicine | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2013-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831740687 | Melissa Janos | Pharmacist | 4823 S, Az-95, Fort Mojave, AZ 86426 | 2019-09-24 |
| 1659774909 | Nicole Eileen Cash | Nurse Practitioner | 5653 S Highway 95 Ste A, Fort Mohave, AZ 86426 | 2014-10-01 |
| 1780009621 | Valley View Physician Practices, LLC | Physical Medicine & Rehabilitation | 5300 S. Highway 95, Ste. D., Ft. Mohave, AZ 86426 | 2014-03-02 |
| 1982840872 | Leticia Alcala | Massage Therapist | 5455 Hwy 95, Fort Mohave, AZ 86426 | 2008-12-23 |
| 1730387432 | Steven Dewayne Smart | Physical Therapist | 1988 Gemini St, Fort Mohave, AZ 86426 | 2007-07-05 |
| 1154543569 | Jonathan M. Brown, D.o., P.C. | Otolaryngology | 5300 South Highway 95, Suite M, Fort Mohave, AZ 86426 | 2007-05-03 |
| 1205931839 | Jennifer Lind Womack | Dietitian, Registered | 5300 S. Highway 95 Ste A, Fort Mohave, AZ 86426 | 2006-09-14 |
| 1053421057 | Kaye A Cunningham Md PC | Family Medicine | 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 | 2006-08-30 |
| 1780790576 | American Medical Imaging Inc | Radiology | 1517 E Aztec Ln, Fort Mohave, AZ 86426 | 2006-08-22 |
| 1902833817 | Allen E Stout | Chiropractor | 5130 Hwy 95, Fort Mohave, AZ 86426 | 2006-06-27 |
| Find all providers in zip 86426 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795151 | Christopher Beneduce | Anesthesiology | 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 | 2006-03-24 |
| 1285610170 | Fredrick Russek | Anesthesiology | 5263 S Highway 95, Suite 101, Fort Mohave, AZ 86426-9223 | 2005-12-21 |
| 1568456473 | Andres Alvarado | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2005-09-07 |
| 1225436694 | Capstone Medical Arizona, LLC | Anesthesiology | 5330 Hwy 95, Fort Mohave, AZ 86426-9225 | 2014-12-16 |
| 1609124544 | Arizona Physician Services LLC | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2012-08-27 |
| 1437447877 | Annie Lynn Penaco Duong | Anesthesiology | 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 | 2011-07-19 |
| 1295023646 | Scott Duong | Anesthesiology | 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426-8315 | 2011-07-19 |
| 1922262286 | Wade Grindle | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2008-07-16 |
| 1083810089 | Henry H Liang | Anesthesiology | 4825 S Highway 95 # 2-356, Fort Mohave, AZ 86426 | 2007-06-26 |
| 1962573436 | Medstat Anesthesia Consultants | Anesthesiology | 5330 S Highway 95, Fort Mohave, AZ 86426-9225 | 2006-11-13 |
| Find all providers in FORT MOHAVE | ||||
| City | FORT MOHAVE |
| Zip Code | 86426 |
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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.