Anthony Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN.CRNA.03168 Issued in OH

Practice address

2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710

Phone

(330) 363-7462

Fax

(330) 363-7679

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aultman Deuble Heart & Vascular Hospital, LLC

  • Cardiovascular Disease Physician
  • Canton, OH
  • NPI 1306495718

  OH

  Medicare reassignment Care Compare group NPD
• Ohio Hospital-Based Physicians Corporation

  • Specialist
  • Canton, OH
  • NPI 1891727079

  OH

  Medicare reassignment Care Compare group NPD
• Ohio Hospital-Based Physician Corporation

  • Specialist
  • North Canton, OH
  • NPI 1205864337
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aultman Deuble Heart and Vascular Hospital, LLC 109 clinicians

Ohio Hospital-Based Physicians Corporation 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score

80.19 of 100Reported as group

Quality

63.25

Promoting interoperability

98

Improvement activities

40

Cost

72.4

Merit-based Incentive Payment System (MIPS)

Final score

85.62 of 100Reported as group

Quality

77.5

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.clark@direct.aultman.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2022.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1013964089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET SW",
            "address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-363-7462",
            "fax_number": "330-363-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANTHONY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "KN237880",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.03168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113779",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anthony.Clark@direct.aultman.org",
            "affiliation": "N",
            "endpointDescription": "Direct email via employer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Sixth Street SW",
            "address_2": "Ohio Hospital Based Physician Corp",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clarity 360 Oh LLC
• Mysja Clark Blackshear
• Aaron Clark
• Alex Scott Clark
• Amanda Alyce Clark
• Ashley Nicole Clark
• Candace Lauren Clark
• Cassie Elizabeth Clark
• Ed J Clark, CRNA
• Janet S Clark

• All providers in Canton, OH
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.