Gregory W Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN550651 Issued in PA

Practice address

100 Knowlson Ave
Beaver Falls, PA 15010-1634

Phone

(724) 891-2100

Fax

(724) 891-2735

NPI assigned

Sep 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Gastroenterology Associates PCGroup PAC ID 4688646235, 25 clinicians

Pittsburgh Gastroenterology AssociatesGroup PAC ID 2567457740, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Pittsburgh Gastroenterology Associates

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1710078977
  Medicare reassignment Care Compare group NPD
• Valley Gastroenterology Associates PC

  • Gastroenterology Physician
  • Beaver Falls, PA
  • NPI 1891748877
  Medicare reassignment Care Compare group NPD
• Barnesville Hospital Association, Inc.

  • Critical Access Hospital
  • Barnesville, OH
  • NPI 1235135450
  Medicare reassignment NPD
• Harrison Community Hospital, Inc.

  • Critical Access Hospital
  • Cadiz, OH
  • NPI 1134151137
  Medicare reassignment NPD
• Northstar Anesthesia of Pennsylvania, LLC

  • Anesthesiology Physician
  • Darby, PA
  • NPI 1700218989
  Medicare reassignment
• Washington Healthcare Strategies, Inc.

  • Anesthesiology Physician
  • Steubenville, OH
  • NPI 1356584064
  Medicare reassignment
• Barnesville Hospital Association, Inc.

  • Rural Health Clinic/Center
  • Barnesville, OH
  • NPI 1134827546
  NPD
• Belmont County Health Services Inc

  • Community/Retail Pharmacy
  • Cadiz, OH
  • NPI 1588142806
  NPD

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1376776633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GREGORY",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN550651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "550651",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chippewa Chiropractic Clinic a Professional Corporation
• Brianna Kathleen Chirico, PT
• Melissa Anne Christen
• Kara Marie Christopher, M.S.
• Jeffrey Scott Cienik, A.T.,C.
• Marshall Keith Clark
• Co-Hill Urgent Care & Wellness Center LLC
• Kelsey Alexandra Colella, DO
• College Hill Podiatry Inc
• David Patrick Collins, MA

• Certified Registered Nurse Anesthetist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.