Crystal L Clark (NPI# 1043582901, PAC ID# 7719146588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1043582901 |
| PAC ID by PECOS | 7719146588 |
| Professional Enrollment ID | I20130827000064 |
| Full Name | Crystal L Clark |
| Organization Legal Name | UNIVERSITY OF KENTUCKY |
| Address |
740 S Limestone E214 Lexington KY 40536-0001 |
| Phone Number | 8593233368 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3072425289 |
| Number of Group Practice Members | 383 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| 360234 | MERCY HEALTH - WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 5138655204 | ANESTHESIA GROUP PRACTICE INC |
| 740 S Limestone, E214, Lexington, KY 40536-0001 | 8593233368 | UNIVERSITY OF KENTUCKY |
| 800 Rose St, Lexington, KY 40536-0001 | 8592578562 | UNIVERSITY OF KENTUCKY |
| Organization Legal Name | UNIVERSITY OF KENTUCKY |
| Physicians | 428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly G Broderson | Clinical Social Worker | University of Kentucky | 245 Fountain Court, Lexington, KY 40509 |
| Brian S Armentrout | Physician Assistant | University of Kentucky | 135 E Maxwell St, Lexington, KY 40508-2640 |
| Beverly B Woods | Nurse Practitioner | University of Kentucky | 601 Chamberlin Ave A, Frankfort, KY 40601-4220 |
| Jennifer N Perry | Clinical Social Worker | University of Kentucky | 1382 Bull Lea Rd, Lexington, KY 40511-1247 |
| Jasmine C Howard | Nurse Practitioner | University of Kentucky | 310 S Limestone, Lexington, KY 40508-3008 |
| Abby B Mattingly | Qualified Audiologist | University of Kentucky | 206 W 1st St, Morehead, KY 40351-1504 |
| Tammy Thomas | Nurse Practitioner | University of Kentucky | 2195 Harrodsburg Rd, Suite 125, Lexington, KY 40504-3504 |
| Amy L Burnett | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Falguni Amin-zimmerman | Radiation Oncology | University of Kentucky | 793 Eastern Byp, Suite G02, Richmond, KY 40475-2423 |
| Dee A Abrams | Physician Assistant | University of Kentucky | 110 Newcomb Ave, Mount Vernon, KY 40456-2728 |
| Street Address |
740 S LIMESTONE E214 |
| City | LEXINGTON |
| State | KY |
| Zip | 40536-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Burnett | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Yvonne P Rice | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Ramsey Nasri Nassar | Nephrology | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Laurel M Fulgham | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Richi C Gambrel | Certified Registered Nurse Anesthetist (crna) | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Larissa L Spurgeon | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Amy L Scandrani | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Kelly J Meyers | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Hayden P Murrell | Certified Nurse Midwife (cnm) | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Kiersten Hart Schneider | Nurse Practitioner | University of Kentucky | 740 S Limestone, E214, Lexington, KY 40536-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devin A Oller | Internal Medicine | Kentucky Medical Services Foundation, Inc | 830 S Limestone, Lexington, KY 40536-0001 |
| Fabrizio Canepa Escaro | Internal Medicine | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Celia E Castellanos | Internal Medicine | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Sajeel Ijaz | Hospitalist | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Jordan D Miller | Thoracic Surgery | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| James D Moore | Emergency Medicine | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Amy S Gewirtz | Pathology | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Sanjoydeb Mukherjee | Emergency Medicine | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Therese J Bocklage | Pathology | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Vinnette Forde | Hospitalist | Kentucky Medical Services Foundation, Inc | 800 Rose St, Lexington, KY 40536-0001 |
| Find all physicians in zip 40536 | |||
| City | LEXINGTON |
| Zip Code | 40536 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LEXINGTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Crystal 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.