PATRICK W. CLARK (NPI# 1407036841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407036841 |
| Entity Type | Individual |
| Full Name | PATRICK W. CLARK |
| Credential | M.D. |
| Practice Address |
1800 Medical Center Pkwy Suite 330 Murfreesboro TN 37129-2567 |
| Mailing Address |
Po Box 1252 Murfreesboro TN 37133-1252 |
| Practice Telephone | 6153964464 |
| Practice Fax Number | 6153966748 |
| Mailing Telephone | 6153964464 |
| Mailing Fax Number | 6153966748 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 47459 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | P00954898 | 01 |
| TN | 1524317 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4300340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048591 | Patrick Alan Clark | Optometrist | 202 N Mitchell St, Rio Grande City, TX 78582-2509 | 2020-06-22 |
| 1548668346 | Patrick Nikita Clark | Non-emergency Medical Transport (VAN) | 4281 Durango Ln, Memphis, TN 38109-4721 | 2014-12-09 |
| 1235313388 | Patrick Jeremiah Clark | Social Worker | 540 E First St, Waconia, MN 55387-1601 | 2007-12-26 |
| 1598751588 | Patrick A Clark | Family Medicine | 9631 269th St Nw, Stanwood, WA 98292-8071 | 2005-09-23 |
| 1770018459 | Patrick Clark | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2017-05-01 |
| 1336508092 | Patrick J Clark | Dentist | 554 Kelly Street, Bumed, Attn: Credentialing & Privileging Directorate, Jacksonville, FL 32212 | 2016-02-23 |
| 1386941755 | Patrick Andrew Clark | Counselor | 9445 Farnham St, San Diego, CA 92123-1308 | 2011-02-22 |
| 1972609436 | Patrick Timothy Clark | Physician Assistant | 4020 Us Highway 27 N, Sebring, FL 33870-1333 | 2006-09-15 |
| 1558301242 | Patrick Clark | Chiropractor | 1600 W 38th St, Suite 412, Austin, TX 78731-6407 | 2006-06-08 |
| 1285699553 | Patrick James Clark Jr. | Optometrist | 101 Bodin Cir, 60 Mdg/amds Optometry Clinic, Travis Afb, CA 94535-1809 | 2006-04-19 |
| Street Address |
1800 MEDICAL CENTER PKWY SUITE 330 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684290 | Andria Renee Huston | Physical Therapist | 1800 Medical Center Pkwy, Ste 200, Murfreesboro, TN 37129-2567 | 2005-07-27 |
| 1720550353 | Jonathan Morgan | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 | 2018-12-20 |
| 1558887091 | Jeffrey Duncan | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 | 2017-08-16 |
| 1588197701 | John-michael Noah Young | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2017-04-05 |
| 1285099630 | Matthew Denney | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2015-12-29 |
| 1770958480 | Elizabeth Van Horn | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2015-12-07 |
| 1164811501 | Stacey Lawrence | Nurse Practitioner | 1800 Medical Center Pkwy, Ste 350, Murfreesboro, TN 37129-2567 | 2015-01-22 |
| 1942698063 | Covenant Healthcare for Women | Obstetrics & Gynecology | 1800 Medical Center Pkwy, Suite 325, Murfreesboro, TN 37129-2567 | 2014-12-23 |
| 1114321023 | Lindsey Hysmith | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2014-10-21 |
| 1609283571 | Allison Kellermann | Nurse Practitioner | 1800 Medical Center Pkwy, Suite 400, Murfreesboro, TN 37129-2567 | 2014-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| 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 |
|---|---|---|---|---|
| 1295378115 | Augustine U Tudeme | Anesthesiology | 5113 Saint Ives Dr, Murfreesboro, TN 37128-4588 | 2019-10-23 |
| 1447510755 | Justin Alexander Taylor | Anesthesiology | 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 | 2012-05-21 |
| 1376508663 | Shyam A Jha | Anesthesiology | 528 N University St, Murfreesboro, TN 37130-3012 | 2006-04-19 |
| 1467448530 | Robert Michael Kirk | Anesthesiology | 3400 Lebanon Road, Murfreesboro, TN 37129 | 2005-09-23 |
| 1730576372 | Chad R Greene | Anesthesiology | 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 | 2015-04-21 |
| 1033326335 | Eric Young | Anesthesiology | 1272 Garrison Dr, Murfreesboro, TN 37129-2598 | 2007-05-17 |
| 1093855306 | Stephanie Petrina Noack | Anesthesiology | 1272 Garrison Dr, Murfreesboro, TN 37129-2598 | 2007-02-07 |
| 1558474940 | Daniel A Brown | Anesthesiology | 1004 N Highland Ave, Murfreesboro, TN 37130-2454 | 2006-08-17 |
| 1578503280 | Wayne Z Henderson Jr. | Anesthesiology | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2006-06-08 |
| 1962457556 | Dennis R Richerson | Anesthesiology | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2006-05-23 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.