BEVERLY ANNE-MARIE CLARK (NPI# 1770583924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770583924 |
| Entity Type | Individual |
| Full Name | BEVERLY ANNE-MARIE CLARK |
| Other Name | BEVERLY JONES |
| Credential | CRNA |
| Practice Address |
321 Genesee St Oneida NY 13421 |
| Mailing Address |
P.o. Box 2000 East Syracuse NY 13057 |
| Practice Telephone | 3153612342 |
| Practice Fax Number | 3153612043 |
| Mailing Telephone | 3153625129 |
| Mailing Fax Number | 3153625179 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2010-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 3527951 | NY | Other Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 352795 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1861742777 | Beverly Elaine Clark | Occupational Therapist | 10803 Par Lane, Wichita, KS 67212-5948 | 2012-09-18 |
| 1649404625 | Beverly Marie Clark | Family Medicine | 1004 E. Madison St, Yates Center, KS 66783-1314 | 2009-05-06 |
| 1992707814 | Beverly A Clark | Pharmacist | 5021 Monck Ct, Wilmington, NC 28409-3173 | 2005-08-11 |
| 1033655675 | Beverly Clark | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-01-06 |
| Street Address |
321 GENESEE ST |
| City | ONEIDA |
| State | NY |
| Zip Code | 13421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408203 | Oneida Health Systems, Inc | General Acute Care Hospital | 321 Genesee St, Oneida, NY 13421-2611 | 2005-06-22 |
| 1578124657 | Kimberly Ann Pisarczyk | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2019-06-27 |
| 1538600655 | Chelsea M Sayles | Registered Nurse | 321 Genesee St, Oneida, NY 13421-2611 | 2017-03-09 |
| 1467992206 | Johan Hallstrom | Occupational Therapist | 321 Genesee St, Oneida, NY 13421-2611 | 2017-02-27 |
| 1891248803 | Patrice Ann Cianfrocco | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2016-07-26 |
| 1144773300 | Corey Corbin | Nurse Practitioner | 321 Genesee St, Oneida, NY 13421-2611 | 2016-07-24 |
| 1700238748 | Matthew R Sayles | Pharmacist | 321 Genesee St, Oneida, NY 13421-2611 | 2016-07-01 |
| 1598138356 | Genesee Physician Practice Pllc | Nurse Anesthetist, Certified Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2015-11-02 |
| 1801278940 | Nelson Johan Caviedes | Nurse Anesthetist, Certified Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2015-06-25 |
| 1972938900 | Jeffrey Kwasniewski | Radiology | 321 Genesee St, Oneida, NY 13421-2611 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528607454 | Caitlin George | Physical Therapist | 221 Broad Street, Floor 1, Oneida, NY 13421 | 2019-12-23 |
| 1922655786 | Marilyn Rice | Technician | 528 Broadway, Oneida, NY 13421 | 2019-08-26 |
| 1760991491 | Faxton-st Lukes Healthcare | Clinic/Center | 131 Main St Ste 101, Oneida, NY 13421 | 2017-09-26 |
| 1750805016 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2018 Glenwood Plz, Oneida, NY 13421 | 2017-07-28 |
| 1164953345 | Suzanne Ratnour | Contractor | 180 Kenwood Ave, Oneida, NY 13421 | 2017-03-21 |
| 1083945067 | Debra S Buckland | Dental Hygienist | 211 Broad Street, Oneida, NY 13421 | 2010-01-15 |
| 1649454745 | Marylourdes Laramee | Pharmacist | 25 Glenwood Ave, Oneida, NY 13421 | 2007-12-26 |
| 1861674020 | Susan M Vanvranken | Pharmacist | 449 North Main St, Oneida, NY 13421 | 2007-11-29 |
| 1316155286 | Lynne Marie Mchugh | Marriage & Family Therapist | 248 Main St, Oneida, NY 13421 | 2007-05-21 |
| 1356557821 | Andrea Suzanne Stanton | Pharmacist | 2024 Genesee Street, Oneida, NY 13421 | 2007-05-14 |
| Find all providers in zip 13421 | ||||
| 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 |
|---|---|---|---|---|
| 1114976495 | John Q Westbrook Jr. | Nurse Anesthetist, Certified Registered | 8797 Alberta St, Scott County Hospital, Oneida, TN 37841 | 2006-05-06 |
| 1598138356 | Genesee Physician Practice Pllc | Nurse Anesthetist, Certified Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2015-11-02 |
| 1801278940 | Nelson Johan Caviedes | Nurse Anesthetist, Certified Registered | 321 Genesee St, Oneida, NY 13421-2611 | 2015-06-25 |
| 1033383617 | St. Mary's Medical Center of Scott County, Inc. | Nurse Anesthetist, Certified Registered | 18797 Alberta St, Oneida, TN 37841-2127 | 2008-04-15 |
| 1942326152 | Darrell L Young | Nurse Anesthetist, Certified Registered | 18797 Alberta Street, Oneida, TN 37841-2127 | 2007-03-21 |
| 1982765111 | Attentus of Scott County,llc | Nurse Anesthetist, Certified Registered | 18797 Alberta St, Oneida, TN 37841-2127 | 2006-12-12 |
| 1366513772 | James M Smith | Nurse Anesthetist, Certified Registered | 18797 Alberta St, Oneida, TN 37841-2127 | 2006-11-10 |
| 1811947583 | Laura Dianne Wilkens | Nurse Anesthetist, Certified Registered | 18797 Alberta Street, Oneida, TN 37841-2127 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788581 | Chioma Ukachi Nwankwo | Nurse Anesthetist, Certified Registered | 835 Blooming Grove Tpke Apt 173, New Windsor, NY 12553-8163 | 2020-07-27 |
| 1528603230 | Catherina Luisa Stevens | Nurse Anesthetist, Certified Registered | 122 Day Spring Ct, Schenectady, NY 12306-3344 | 2019-11-18 |
| 1669021705 | Tahela Davidov | Nurse Anesthetist, Certified Registered | 27005 76th Ave # 11040, New Hyde Park, NY 11040-1402 | 2019-09-11 |
| 1588121792 | Aisha Powell | Nurse Anesthetist, Certified Registered | 2132 Wallace Ave Apt 246, Bronx, NY 10462-2504 | 2019-02-23 |
| 1144786765 | Michelle Giannetti | Nurse Anesthetist, Certified Registered | 1900 Empire Blvd # 221, Webster, NY 14580-1934 | 2019-02-19 |
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1639655475 | Julian Piazzola | Nurse Anesthetist, Certified Registered | 5843 59th St, Maspeth, NY 11378-3246 | 2018-07-16 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1164921326 | Edjona Groysman | Nurse Anesthetist, Certified Registered | 130 Stroud Ave, Staten Island, NY 10312-3244 | 2018-02-02 |
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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.