JASON ANDREW CLARK


Address: 1970 Roanoke Blvd, Salem, VA 24153-6404
Phone: 5409822463

JASON ANDREW CLARK (NPI# 1902101959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902101959
Entity Type Individual
Full Name JASON ANDREW CLARK
Credential CRNA
Practice Address 1970 Roanoke Blvd
Salem
VA 24153-6404
Practice Telephone 5409822463
Practice Fax Number 1234567890
Mailing Telephone 5409822463
Mailing Fax Number 1234567890
Enumeration Date 2011-01-24
Last Update Date 2015-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 00274169178 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JASON CLARK

NPI Name Taxonomy Address Enumeration
1033727425 Jason Clark Counselor 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 2020-07-21
1548695489 Jason S. Clark Veterinarian 11800 Capital Way, Louisville, KY 40299-6332 2013-09-11
1346201431 Jason Drew Clark Dentist 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 2006-03-29
1306197348 Jason Clark Nurse Anesthetist, Certified Registered 620 Skyline Drive, Jackson, TN 38301 2012-10-01
1568711513 Jason E Clark Case Management 4615 Philips Highway, Jacksonville, FL 32207-7265 2012-09-06
1699024695 Jason M Clark Optometrist 101 Conley Rd, Columbia, MO 65201-6465 2012-09-05
1457632705 Jason Clark Physical Therapy Assistant 1001 Giesau Dr, Ontonagon, MI 49953-1454 2011-08-31
1184912883 Jason Clark Pharmacist 3021 Reidville Rd, Spartanburg, SC 29301-5643 2011-07-14
1508150301 Jason Clark Occupational Therapist 140 Technology Ln, Johnson City, TN 37604-2004 2011-06-09
1134448525 Jason D Clark Orthopaedic Surgery 480 E Jefferson St, Suite B, Butler, PA 16001-4780 2010-05-25

Office Location

Street Address 1970 ROANOKE BLVD
City SALEM
State VA
Zip Code 24153-6404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518960301 Paul Shearer Podiatrist 1970 Roanoke Blvd, Salem, VA 24153-6404 2005-05-24
1821697301 Tammy C'w Yu Pharmacist 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-10-26
1649886599 Rebecca Elizabeth Stevenson Psychologist 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-09-16
1013529098 Salihah Ali Pharmacist 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-08-20
1043838303 Jasper Jade Dikit Raguindin Pharmacist 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-07-13
1568080976 Morgan Cook Pharmacist 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-07-13
1508484528 Lisa M Harrison Nurse Practitioner 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-07-07
1417575432 Hannah Wilkoff Pharmacist 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-07-07
1952928764 Stephanie Nicole May Nurse Practitioner 1970 Roanoke Blvd, Salem, VA 24153-6404 2020-06-26
1396369336 Callie Mashburn Optometrist 1970 Roanoke Blvd, Salem, VA 24153-6478 2020-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063961928 Chase Bazil Nurse Anesthetist, Certified Registered 15 N 100 W, Salem, UT 84653-9541 2016-10-03
1891148094 Stefany Mcmullen Nurse Anesthetist, Certified Registered 5230 Eola Dr Nw, Salem, OR 97304-3355 2016-07-22
1265817712 Elizabeth Faber Nurse Anesthetist, Certified Registered 890 Oak Street Se, Salem, MA 97301 2015-07-27
1487904298 Jerry Antony Hadlock Nurse Anesthetist, Certified Registered 684 E 320 S, Salem, UT 84653-8532 2012-09-19
1740426006 Todd Louis Hixson Nurse Anesthetist, Certified Registered 630 Waldo Ave Se, Salem, OR 97302-3175 2008-12-16
1639168917 Debra Lynne Skerlec-caylor Nurse Anesthetist, Certified Registered 2050 Allen Rd, Salem, OH 44460-1016 2005-10-19
1619447299 Joshua Dodson Nurse Anesthetist, Certified Registered 1900 Electric Road, Salem, VA 24153 2018-11-27
1083125868 Kathryn B Stewart Nurse Anesthetist, Certified Registered 1900 Electric Rd, Salem, VA 24153-7474 2017-10-19
1861921892 Stefanie Navarro Nurse Anesthetist, Certified Registered 81 Highland Ave, Salem, MA 01970-2714 2017-06-04
1255874301 Laura Melnick Nurse Anesthetist, Certified Registered 1995 E State St, Salem, OH 44460-2423 2016-11-22
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Competitor

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City SALEM
Zip Code 24153

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Dataset Information

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.

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