CHARLES PAUL CLEMENTS III (NPI# 1598741357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598741357 |
| Entity Type | Individual |
| Full Name | CHARLES PAUL CLEMENTS III |
| Credential | CRNA |
| Practice Address |
4755 Ogletown Stanton Road Newark DE 19718-1320 |
| Mailing Address |
2 Reads Way Suite 201 New Castle DE 19720-1630 |
| Practice Telephone | 3027331000 |
| Practice Fax Number | 3027332685 |
| Mailing Telephone | 3027094709 |
| Mailing Fax Number | 3027094551 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | RN334205L | PA | Allopathic & Osteopathic Physicians |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | L6-0A00734 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1598741357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649659178 | Charles Wes Clements IIi | Family Medicine | 8203 Fredericksburg Rd, San Antonio, TX 78229-3313 | 2015-05-29 |
| 1669565446 | Charles A Clements | Dentist | 325 General Cavazos Blvd, Kingsville, TX 78363-7203 | 2006-10-02 |
| 1205897212 | Charles Wesley Clements II | Family Medicine | 1600 Medical Center Dr, Suite 1500, Huntington, WV 25701-3656 | 2006-03-29 |
| Street Address |
4755 OGLETOWN STANTON ROAD |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397392 | Leonard I Japko | Pathology | 4755 Ogletown Stanton Road, Newark, DE 19718-0001 | 2005-06-21 |
| 1366901365 | Meghan P Ericksen | Registered Nurse | 4755 Ogletown Stanton Road, Suite 1070, Newark, DE 19718-2200 | 2019-03-19 |
| 1144712613 | Hannah Betters | Physician Assistant | 4755 Ogletown Stanton Road, Suite 2670, Christiana Hospital Dept of Surgery, Newark, DE 19718-2200 | 2018-05-31 |
| 1699291328 | Joy Zaccaria | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2017-08-15 |
| 1023548914 | Maureen Ann Moffett | Clinical Nurse Specialist | 4755 Ogletown Stanton Road, Neonatal Intensive Care Unit, Newark, DE 19718 | 2017-06-14 |
| 1386182186 | Ashley Boller | Physician Assistant | 4755 Ogletown Stanton Road, Suite 2e99, Newark, DE 19718-2200 | 2017-02-01 |
| 1205387016 | Sonya Modi | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2016-10-17 |
| 1629420435 | Nicholas R. Klock | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2016-07-05 |
| 1942681614 | Dana Chanes Manuel | Internal Medicine | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2015-06-17 |
| 1821477324 | Thomas Keith Sheehan II | Internal Medicine | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2015-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| 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 |
|---|---|---|---|---|
| 1790097715 | Jonathan Esposito | Nurse Anesthetist, Certified Registered | 150 Bergen St Rm E-245, Newark, NJ 07103-2496 | 2010-07-07 |
| 1548359268 | Jennifer Aikey | Nurse Anesthetist, Certified Registered | 10557 Flint Ridge Rd Se, Newark, OH 43056-9264 | 2006-10-12 |
| 1306868849 | Susan Lee Welsh | Nurse Anesthetist, Certified Registered | 150 Bergen St Rm E245, Newark, NJ 07103-2496 | 2006-07-24 |
| 1811921562 | Judith A Camperlino | Nurse Anesthetist, Certified Registered | 4745 Ogletown Stanton Rd Ste 134, Newark, DE 19713-2074 | 2006-07-10 |
| 1063448199 | Cheryl Richter | Nurse Anesthetist, Certified Registered | 111 Continental Dr Ste 313, Newark, DE 19713-4317 | 2006-06-23 |
| 1942200993 | Rebecca Thomas | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2005-07-29 |
| 1609870468 | Robin Secouler | Nurse Anesthetist, Certified Registered | 111 Continental Dr, Suite 412, Newark, DE 19713-4306 | 2005-06-09 |
| 1912521451 | Courtney Marie Adams | Nurse Anesthetist, Certified Registered | 1320 W Main St, Newark, OH 43055-1822 | 2020-06-01 |
| 1477193274 | Richard Bruce Mensik Jr. | Nurse Anesthetist, Certified Registered | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-01-09 |
| 1487295721 | Michael Rajnherc | Nurse Anesthetist, Certified Registered | 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 | 2019-10-07 |
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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.