MR. LAIRD IAN CLARK (NPI# 1811289416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811289416 |
| Entity Type | Individual |
| Full Name | MR. LAIRD IAN CLARK |
| Credential | CRNA |
| Practice Address |
450 Williams Way Moab UT 84532-2185 |
| Practice Telephone | 4357193510 |
| Mailing Telephone | 4357193510 |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 361242-4406 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 WILLIAMS WAY |
| City | MOAB |
| State | UT |
| Zip Code | 84532-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857398 | Moab Valley Healthcare Inc | Anesthesiology | 450 Williams Way, Moab, UT 84532 | 2006-01-31 |
| 1649883547 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2020-08-28 |
| 1255810123 | Matthew Okelberry | Physical Therapist | 450 Williams Way, Moab, UT 84532-2185 | 2018-08-10 |
| 1104336528 | Paul Edward Kionka | Occupational Therapist | 450 Williams Way, Moab, UT 84532-2185 | 2017-10-11 |
| 1134672371 | Hannah Elizabeth Bodenhamer | Physician Assistant | 450 Williams Way, Moab, UT 84532-2185 | 2016-07-24 |
| 1063826832 | Paul Michael Johnson | Family Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2014-06-19 |
| 1881012235 | Lauren Prest | Psychiatry & Neurology | 450 Williams Way, Moab, UT 84532-2185 | 2014-04-02 |
| 1023454683 | Kimberly Franke | Orthopaedic Surgery | 450 Williams Way, Moab, UT 84532-2185 | 2013-05-21 |
| 1316288814 | James Walling | Radiology Practitioner Assistant | 450 Williams Way, Moab, UT 84532-2065 | 2013-03-07 |
| 1578858171 | Michael A Kueber Jr. | Emergency Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2011-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
| Find all providers in zip 84532 | ||||
| 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 |
|---|---|---|---|---|
| 1851577118 | Daniel Roush | Nurse Anesthetist, Certified Registered | 450 Williams Way, Moab, UT 84532-2065 | 2008-01-17 |
| 1881665537 | Kay Osteen | Nurse Anesthetist, Certified Registered | 719 W 400 N, Moab, UT 84532-2239 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116523 | Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | 530 W 465 N Ste 703, Providence, UT 84332-8006 | 2020-08-24 |
| 1083223523 | Mt Olympus Anesthesia | Nurse Anesthetist, Certified Registered | 4035 S Splendor Cir, Salt Lake City, UT 84124-2177 | 2020-07-30 |
| 1922627975 | Nic-sedation Pllc | Nurse Anesthetist, Certified Registered | 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 | 2020-04-09 |
| 1871139972 | Suzanne Enos Tremblay | Nurse Anesthetist, Certified Registered | 1051 E 100 N, Lindon, UT 84042-2268 | 2019-11-23 |
| 1629638101 | Cloud Nine Sedations | Nurse Anesthetist, Certified Registered | 5465 Aspen Meadow Ln, Mountain Green, UT 84050-6766 | 2019-06-18 |
| 1558927376 | Rocky Point Anesthesia | Nurse Anesthetist, Certified Registered | 6811 Firth Farm Rd, South Weber, UT 84405-7193 | 2019-05-16 |
| 1083120059 | Dallin Marchant | Nurse Anesthetist, Certified Registered | 1954 S 2600 E, Slc, UT 84108-3334 | 2017-12-28 |
| 1477068294 | Michael G Bergeson | Nurse Anesthetist, Certified Registered | 136 W 1300 North Cir, Centerville, UT 84014-1400 | 2017-12-04 |
| 1356886832 | Jeremy Henrie | Nurse Anesthetist, Certified Registered | 10660 S Rembrandt Ln, Sandy, UT 84070-5224 | 2016-12-20 |
| 1063961928 | Chase Bazil | Nurse Anesthetist, Certified Registered | 15 N 100 W, Salem, UT 84653-9541 | 2016-10-03 |
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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.