MR. CASEY RYAN CLARK (NPI# 1174534085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174534085 |
| Entity Type | Individual |
| Full Name | MR. CASEY RYAN CLARK |
| Credential | CRNA |
| Practice Address |
22234 Kennemer Ln Athens AL 35613-8162 |
| Practice Telephone | 2562062081 |
| Practice Fax Number | 2567715972 |
| Mailing Telephone | 2562062081 |
| Mailing Fax Number | 2567715972 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-104686 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1306340286 | Casey Lane Clark | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0001 | 2018-03-23 |
| 1225542558 | Casey Daniel Clark | Nurse Practitioner | 230 Sheraton Blvd, Macon, GA 31210-1358 | 2017-11-22 |
| 1477072809 | Casey Morgan Clark | Behavior Technician | 2101 Arc Dr, St Augustine, FL 32084-0512 | 2017-09-18 |
| 1518308923 | Casey Clark | Registered Nurse | 815 Oberlin Rd, Raleigh, NC 27605-1300 | 2013-07-13 |
| 1184929648 | Casey M Clark | Physical Therapist | 100 Park St, Glens Falls, NY 12801-4413 | 2011-01-14 |
| 1174528871 | Casey J. Clark | Physical Therapist | 2170 S Lamar Blvd, Oxford, MS 38655-5224 | 2005-06-17 |
| Street Address |
22234 KENNEMER LN |
| City | ATHENS |
| State | AL |
| Zip Code | 35613-8162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1720565963 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 22454 Us Hwy 72, Suite 120, Athens, AL 35613 | 2018-07-20 |
| 1881142099 | Sheri L Korby | Audiologist | 15232 Greenfield Dr., Athens, AL 35613 | 2016-09-16 |
| 1467834119 | Aaa Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 22923 Us Highway 72 Ste C, Athens, AL 35613 | 2015-06-18 |
| 1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
| 1669622320 | Robin Dollar St Pierre | Nurse Practitioner | 22136 Medical Village Drive, Athens, AL 35613 | 2008-09-30 |
| 1639329402 | Adam Marc Simpson | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2008-09-29 |
| 1912050352 | Valley Ent Assoc. P.C. | Specialist | 15232 Greenfield Dr, Athens, AL 35613 | 2007-01-19 |
| 1588745947 | Michael Lynn Hedgepeth | Chiropractor | 27453 Capshaw Road Suite B, Athens, AL 35613 | 2006-10-18 |
| 1881781268 | Athens Eye Care Center, P.C. | Optometrist | 22984 Us Highway 72, Athens, AL 35613 | 2006-10-06 |
| Find all providers in zip 35613 | ||||
| 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 |
|---|---|---|---|---|
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| 1801156344 | Anesthesia Associates of Athens, Inc | Nurse Anesthetist, Certified Registered | 55 Hosptial Drive, Athens, OH 45701 | 2012-05-17 |
| 1922148899 | Tonya Dale Veal | Nurse Anesthetist, Certified Registered | 8771 Macon Hwy, Athens, GA 30606-5266 | 2007-02-08 |
| 1982786018 | David W. Cardwell | Nurse Anesthetist, Certified Registered | 121 Louise Ln, Athens, OH 45701-3416 | 2006-10-19 |
| 1528166717 | Wallace Scott Phillips | Nurse Anesthetist, Certified Registered | 1031 Scott Ter, Athens, GA 30606-6271 | 2006-09-20 |
| 1750322855 | Bonnie Bachtel | Nurse Anesthetist, Certified Registered | 460 Fortson Dr, Athens, GA 30606-4108 | 2006-06-09 |
| 1063401222 | Timothy Earl Adair | Nurse Anesthetist, Certified Registered | 510 E Clinton Ave, Athens, TX 75751-3410 | 2005-10-19 |
| 1730177601 | Athens Anesthesia Services, Pa | Nurse Anesthetist, Certified Registered | 2000 S Palestine St, Athens, TX 75751-5610 | 2005-10-13 |
| 1699778803 | Arthur Lynn Womble | Nurse Anesthetist, Certified Registered | 700 W Market St, Athens, AL 35611-2457 | 2005-05-23 |
| 1770108862 | Jason Andrew Thompson | Nurse Anesthetist, Certified Registered | 2131 E State St, Athens, OH 45701-2138 | 2020-06-15 |
| Find all providers in ATHENS | ||||
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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.