RANDALL CLARK (NPI# 1447200944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447200944 |
| Entity Type | Individual |
| Full Name | RANDALL CLARK |
| Credential | MD |
| Practice Address |
13123 E 16th Ave Aurora CO 80045-7106 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7207771234 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 27933 | CO | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
DR.0027933 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01279330 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1013336437 | Randall Edward Clark Jr. | Durable Medical Equipment & Medical Supplies | 918 E Southlake Blvd, Southlake, TX 76092-6344 | 2014-04-14 |
| 1598997330 | Randall Clark | Massage Therapist | 13830 58th St N Ste 404, Clearwater, FL 33760-3720 | 2009-08-12 |
| 1891790374 | Randall Clark | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2005-06-20 |
| 1265873111 | Randall Bruce Clark II | Radiology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2013-07-08 |
| 1063573319 | Randall Norton Clark | Family Medicine | 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525-9477 | 2006-12-12 |
| Street Address |
13123 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598182487 | Nicholas Monteiro Houska | Anesthesiology | 13123 E 16th Ave # B090, Aurora, CO 80045-7106 | 2014-03-28 |
| 1770970980 | Mitchell Daniel | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-26 |
| 1619364239 | Christopher Carl Sampson | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-21 |
| 1902291560 | Amy Colleen Johnson Lee | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-31 |
| 1174939987 | Nicholas Stringer | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-07-01 |
| 1467863985 | Zvonimir Bebic | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-05-19 |
| 1922427137 | Brian Kaires Duggar | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-04-15 |
| 1821416959 | Tyler Patrick Morrissey | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-04-05 |
| 1891038717 | Ray Choi | Anesthesiology | 13123 E 16th Ave Dept Of, Aurora, CO 80045 | 2013-03-28 |
| 1588926901 | Samina Gilani | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2012-06-12 |
| Find all providers in AURORA | ||||
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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.