Active NPI
Clarence Dallas Tarp, CRNA
- Certified Registered Nurse Anesthetist
- McAlester, OK
National Provider Identifier
1063463362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COO447
- Practice address
- 515 S 7TH St
McAlester, OK 74501-5915 - Phone
- (870) 918-4460
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COO447 | AR | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R28256 | AR |
Addresses
Primary practice location
515 S 7TH St
McAlester, OK 74501-5915
Mailing address
3206 Caliente CT
#6184
Arlington, TX 76017-2504
Phone (870) 918-4460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103674701 | Medicaid | AK |
Other names 1
- Clarence Tarp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COO447 | AR | MD | Certified Registered Nurse Anesthetist |
| R28256 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Mid-America Anesthesia Consultants, PC | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Poplar Bluff Regional Medical Center | Past | Accepting new patients | |
| Poplar Bluff Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Services of Benton County PA | Past | Accepting new patients | |
| St John'S Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| St Johns Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| River Valley Anesthesia Associates, P. a. | Past | Accepting new patients | |
| Ozark Anesthesia Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Anesthesiology Physician
- Rogers, AR
- NPI 1013084482
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
-
- Anesthesiology Physician
- Columbia, MO
- NPI 1083728463
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Community/Retail Pharmacy
- Piedmont, MO
- NPI 1205879426
-
- General Acute Care Hospital
- Poplar Bluff, MO
- NPI 1700831724
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1417967472
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1063463362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 CALIENTE CT",
"address_2": "#6184",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760172504",
"telephone_number": "870-918-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S 7TH ST",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015915",
"telephone_number": "870-918-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARP",
"first_name": "CLARENCE",
"middle_name": "DALLAS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "COO447",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "R28256",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103674701",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CLARENCE",
"last_name": "TARP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.