Individual provider Active NPI

Frank C Clark, MD

  • Anesthesiology Physician
  • Corbin, KY
National Provider Identifier
1851409007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36432 Issued in KY
Practice address
Trillium Way
Corbin, KY 40701-8445
Phone
(606) 528-1212
Fax
(606) 523-2547
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 36432 KY Primary

Addresses

Primary practice location

Trillium Way
Corbin, KY 40701-8445

Mailing address

2 Trillium Way Ste 205
Corbin, KY 40701-8445
Phone (606) 523-2140

Other identifiers 2

IdentifierTypeStateIssuer
000000200592OtherKYANTHEM
64044878MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Definitive Medical Solutions, PSC Anesthesiology Past Accepting new patients
Arena and Monaco, PSC Crna Past Accepting new patients
Radiology Inc PastSince Aug 12, 2012 Accepting new patients
Robert H and Teresita S Petty Anesthesiology Past Accepting new patients
Gregory L Hummel MD PC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851409007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRILLIUM WAY STE 205",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018445",
            "telephone_number": "606-523-2140",
            "fax_number": "606-523-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRILLIUM WAY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018445",
            "telephone_number": "606-528-1212",
            "fax_number": "606-523-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "FRANK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "36432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000200592",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64044878",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.