Individual provider Active NPI

Gunnar C Clark, MD

  • Anesthesiology Physician
  • Chandler, AZ
National Provider Identifier
1255626701
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
53950 Issued in AZ
Practice address
604 W Warner Rd Ste a
Chandler, AZ 85225-2900
Phone
(602) 309-4709
Fax
(602) 419-2951
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 53950 AZ Primary

Addresses

Primary practice location

604 W Warner Rd Ste a
Chandler, AZ 85225-2900

Mailing address

PO Box 29211
Phoenix, AZ 85038-9211
Phone (480) 374-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522001260 AZ Practitioner - Anesthesiology 9638497613 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Utah School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53950AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince May 15, 2023 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Oct 30, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 1, 2025 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince May 15, 2023 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Sep 17, 2024 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Greater Anesthesia Solutions Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Chandler Anesthesia Consultants LLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Aug 15, 2022 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255626701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "480-374-7308",
            "fax_number": "602-267-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD STE A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252900",
            "telephone_number": "602-309-4709",
            "fax_number": "602-419-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GUNNAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "53950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.