DR. MICHAEL A CLARK (NPI# 1639374523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639374523 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A CLARK |
| Credential | M.D. |
| Practice Address |
4643 Waimea Canyon Drive Waimea HI 96796 |
| Mailing Address |
Po Box 1041 Koloa HI 96756-1041 |
| Practice Telephone | 8083389431 |
| Mailing Telephone | 4232028790 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 16124 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
4643 WAIMEA CANYON DRIVE |
| City | WAIMEA |
| State | HI |
| Zip Code | 96796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154473 | Mariano Torres | Specialist | 4643 Waimea Canyon Drive, Waimea, HI 96796-0669 | 2005-06-16 |
| 1114152501 | Damien Kapono Chong-hanssen | Family Medicine | 4643 Waimea Canyon Drive, Suite B, Waimea, HI 96796-1192 | 2009-05-28 |
| 1467620328 | Kauai Veterans Memorial Hospital | Specialist | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2008-02-13 |
| 1326245515 | Island Telemedicine Inc | Radiologic Technologist | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2007-06-29 |
| 1548473465 | David Deland Gregorius | Emergency Medicine | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2007-05-07 |
| 1609917590 | James William Mcgee | Radiology | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2007-02-12 |
| 1467510743 | Kauai Veterans Memorial Hospital | General Acute Care Hospital | 4643 Waimea Canyon Drive, Waimea, HI 96796-0337 | 2006-12-05 |
| 1376601658 | Kauai Veterans Memorial Hospital | Nursing Facility/Intermediate Care Facility | 4643 Waimea Canyon Drive, Waimea, HI 96796-0337 | 2006-12-05 |
| 1881769156 | Robert Joseph Millard | Anesthesiology | 4643 Waimea Canyon Drive, Kauai Veterans Memorial Hospital, Waimea, HI 96796 | 2006-11-22 |
| 1649345968 | Kauai Veterans Memorial Hospital | Medicare Defined Swing Bed Unit | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1033640297 | Amy Guyton | Family Medicine | 4643 Waimea Canyton Dr., Waimea, HI 96796 | 2017-03-21 |
| 1164894853 | Lianne Malapit | Pharmacist | 4643-a Waimea Canyon Dr., Waimea, HI 96796 | 2015-10-21 |
| 1871845859 | Sunshine Drug and Sundry LLC | Pharmacy | 9905 Waimea Road, Waimea, HI 96796 | 2012-10-15 |
| 1013199744 | Narreinar Pawsheun Williams | Obstetrics & Gynecology | 4643 Waimea Canyon Dr. Ste. B, Waimea, HI 96796 | 2007-12-05 |
| 1225191471 | St. Francis Medical Center - West Kauai Dialysis | Clinic/Center | 4643-a Waimea Canyon Road, Waimea, HI 96796 | 2006-12-19 |
| 1508933763 | Jeffrey C.m. Wong | Obstetrics & Gynecology | 4643b Waimea Canyon Dr., Waimea, HI 96796 | 2006-11-30 |
| 1770653966 | Mary Catherine Sementi | Internal Medicine | 4643-b Waimea Canyon Drive, Waimea, HI 96796 | 2006-11-08 |
| 1073606224 | Iaomai 2 LLC | Durable Medical Equipment & Medical Supplies | 4643 A Waimea Canyon Dr, Waimea, HI 96796 | 2006-10-02 |
| 1366554370 | West Hawaii Imaging Services, Inc | Radiology | 4643a Waimea Canyon Drive, Waimea, HI 96796 | 2006-08-31 |
| Find all providers in zip 96796 | ||||
| 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 |
|---|---|---|---|---|
| 1134165301 | Eliot A. Demello | Anesthesiology | 4643 Waimea Canyon Rd, Waimea, HI 96796 | 2006-06-22 |
| 1881769156 | Robert Joseph Millard | Anesthesiology | 4643 Waimea Canyon Drive, Kauai Veterans Memorial Hospital, Waimea, HI 96796 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982100962 | Propofol Dreams | Anesthesiology | 500 Ala Moana Blvd Suite, Suite 1b, Honolulu, HI 96813 | 2018-03-30 |
| 1568830909 | Lori Tungpalan-grondolsky Md, Inc | Anesthesiology | 1350 Punchbowl St, Honolulu, HI 96813 | 2015-09-02 |
| 1861819633 | Willard Spiegelman | Anesthesiology | 3781 Milimakani Pl, Princeville, HI 96722-5345 | 2014-03-18 |
| 1750728028 | Christopher N Lam, Do, Pllc | Anesthesiology | 4354 Pahoa Ave, #10803, Honolulu, HI 96816-8400 | 2013-05-28 |
| 1013267301 | Gaas, LLC | Anesthesiology | 4354 Pahoa Avenue, #10803, Honolulu, HI 96816-8426 | 2012-09-13 |
| 1134496086 | Lanipo Village Anesthesia LLC | Anesthesiology | 151 Lanipo Dr, Kailua, HI 96734-3228 | 2011-11-21 |
| 1922399617 | Gareth K. Nakasone, Md Inc. | Anesthesiology | 3028 Holua Way, Honolulu, HI 96819-2932 | 2011-04-28 |
| 1437448529 | Harriet Ho Pien | Anesthesiology | 1609 Laukahi St, Honolulu, HI 96821-1329 | 2011-03-29 |
| 1720393127 | Jon Howard Pegg | Anesthesiology | 2654 Pacific Heights Rd, Honolulu, HI 96813-1049 | 2010-08-10 |
| 1407176688 | John Robert Young | Anesthesiology | 1401 S Beretania St Ste 400, Honolulu, HI 96814-1872 | 2010-06-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL A CLARK.
| 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.