Jason L Clark (NPI# 1306197348, PAC ID# 4284884834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1306197348 |
| PAC ID by PECOS | 4284884834 |
| Professional Enrollment ID | I20141018000089 |
| Full Name | Jason L Clark |
| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Address |
1100 Belk Blvd Oxford MS 38655-5242 |
| Phone Number | 6622328100 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0941347447 |
| Number of Group Practice Members | 165 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250034 | BAPTIST MEMORIAL HOSPITAL NORTH MS |
| Address | Phone | Organization |
|---|---|---|
| 1100 Belk Blvd, Oxford, MS 38655-5242 | 6622328100 | LIFELINC ANESTHESIA PLLC |
| Organization Legal Name | LIFELINC ANESTHESIA PLLC |
| Physicians | 151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Kopinski | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 3340 Players Club Pkwy, Suite 350, Memphis, TN 38125-8933 |
| Joshua M Lemay | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 320 W 18th St, Hopkinsville, KY 42240-1965 |
| Thomas A Opilka | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 2200 Union Ave, Memphis, TN 38104-4205 |
| Micah Best | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 5350 Poplar Ave, Suite 900, Memphis, TN 38119-3699 |
| Mary A Hall | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
| Gregory L Thompson | Anesthesiology | Lifelinc Anesthesia Pllc | 2301 S Lamar Blvd, Lifelinc Anesthesia Pllc, Oxford, MS 38655-5373 |
| David Bruce Mcmindes | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 804 Snow Hill Rd, Salisbury, MD 21804-1938 |
| Susan Coach | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 4805 Montgomery Rd, Suite 140, Norwood, OH 45212-2281 |
| Eric D Hutto | Anesthesiology | Lifelinc Anesthesia Pllc | 611 Alcorn Dr, Corinth, MS 38834-9321 |
| Christopher Harrison Wright | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1200 N State St, Suite 270, Jackson, MS 39202-2027 |
| Street Address |
1100 BELK BLVD |
| City | OXFORD |
| State | MS |
| Zip | 38655-5242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob R Whelan | Internal Medicine | Comprehensive Hospitalists of Ms, LLC | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Kevin M Bowden | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Thomas Smith | Emergency Medicine | United Emergency Services Inc. | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Melissa Williams | Nurse Practitioner | United Emergency Services Inc. | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Taiyamum Laila | Internal Medicine | Comprehensive Hospitalists of Ms, LLC | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Margaret Macmillan | Internal Medicine | Comprehensive Hospitalists of Ms, LLC | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Jerry Mosley | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Mohammad Saeed Alkhatib | Internal Medicine | Comprehensive Hospitalists of Ms, LLC | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Michael W Koury | Emergency Medicine | United Emergency Services Inc. | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Sandra Tonkinson | Nurse Practitioner | Comprehensive Hospitalists of Ms, LLC | 1100 Belk Blvd, Oxford, MS 38655-5242 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Hill Walker | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 204 Enterprise Dr Unit, 15 Drayer Physical Therapy Mississippi, Oxford, MS 38655-2761 |
| Dallis Glenn Forsythe | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 204 Enterprise Dr Unit, 15 Drayer Physical Therapy Mississippi, Oxford, MS 38655-2761 |
| Catherine Claire Hays | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 204 Enterprise Dr Unit, 15 Drayer Physical Therapy Mississippi, Oxford, MS 38655-2761 |
| Kenneth Charles Hill | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 |
| Matthew Peter Brennan | General Practice | Skilled Facility Health Care Solutions Inc | 302 Enterprise Dr, Suite A, Oxford, MS 38655-2762 |
| Courtney M Purvis | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 |
| Christophe J Lahr | General Surgery | Skilled Facility Health Care Solutions Inc | 302 Enterprise Dr, Suite A, Oxford, MS 38655-2762 |
| Katherine Swindoll Cochran | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 |
| Christine S Waldrop | Vascular Surgery | Oxford Vein Center Pllc | 300 Enterprise Dr, Oxford, MS 38655-2762 |
| Michael G Turner | Optometry | 1110 N Lamar Blvd, Oxford Family Vision Clinic, Oxford, MS 38655-2844 | |
| Find all physicians in zip 38655 | |||
| City | OXFORD |
| Zip Code | 38655 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OXFORD + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jason L Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.