Robert Clark, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

K7696 Issued in TX

Practice address

1717 Precinct Line Rd Ste 200B
Hurst, TX 76054-3197

Phone

(817) 369-3990

NPI assigned

May 5, 2006

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morningstar Anesthesia ProfessionalsGroup PAC ID 3072909837, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dallas Medical Center Hospital, Dallas, TX, CCN 450379

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morningstar Anesthesia Professionals

  • Anesthesiology Physician
  • Lancaster, TX
  • NPI 1639824246
  Medicare reassignment Care Compare group NPD
• Accord Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
  • NPI 1366976441

  Pain Medicine

  Medicare reassignment NPD
• Texas Anesthesia Group PLLC

  • Anesthesiology Physician
  • Hurst, TX
  • NPI 1730503103
  Medicare reassignment NPD
• Texas Anesthesia Team PLLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1467037937
  Medicare reassignment NPD
• Akshay Vakharia M.D.,PLLC

  • Anesthesiology Physician
  • Denton, TX
  • NPI 1043484819
  NPD (past)
• Denton Anesthesiology Associates, PA

  • Anesthesiology Physician
  • Denton, TX
  • NPI 1588622815
  NPD (past)
• DFW Childrens Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1366809055
  NPD (past)
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610
  NPD (past)
• Oakwood Medical Services, PLLC

  • Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1760830996
  NPD (past)
• Texas Pain Relief Group PLLC

  dba Texas Primary Care Group

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1396128328
  NPD (past)
• Sheridan Healthcare of North Texas PA

  • Anesthesiology Physician
  • Sunrise, FL
  • NPI 1538142088
  NPD (past)

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

• Dallas Medical Center LLC

  dba Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1861690364
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1871541441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 PRECINCT LINE RD STE 200B",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543197",
            "telephone_number": "817-369-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K7696",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "K7696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159818704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chung-Hwei Chernly Acupuncture Center, Inc. (Acupuncture Center, Inc.)
• Margarita Cristina Cienfuegos, COTA
• Citra Physician Services PLLC (Citra Urgent Care)
• City of Hurst
• Bryson A Clark, D.C.
• Sarah Elizabeth Clark, CPM, LM
• Isael Claudio, COTA
• Iliana Claveria, PTA
• Brandy Clydene Clegg
• Clinton Hyatt, DDS, PC (Hyatt Family Dental)

• Pain Medicine (Anesthesiology) Physician in Hurst, TX
• Providers in Hurst, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.