Individual provider Active NPI

Clark Curtis Tomlinson, CRNA

  • Certified Registered Nurse Anesthetist
  • Asheboro, NC
National Provider Identifier
1922081322
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
164569 Issued in NC
Practice address
364 White Oak St
Randolph Hospital
Asheboro, NC 27203-5434
Phone
(336) 683-5284
Fax
(336) 683-5279
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 164569 NC Primary

Addresses

Primary practice location

364 White Oak St
Randolph Hospital
Asheboro, NC 27203-5434

Mailing address

PO Box 4174
Anesthesia of Randolph County PA
Asheboro, NC 27204-4174
Phone (336) 683-5284

Other identifiers 1

IdentifierTypeStateIssuer
8051571MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000298 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880615400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

364 White Oak St
Asheboro, NC 27203-5434
Phone (336) 625-5151

Hospital & facility affiliations

  • Randolph Hospital Hospital, Asheboro, NC, CCN 340123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2791NCMDOccupational Therapy Assistant
164569NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Anesthesia Specialists Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Carolina Anesthesiology, PA Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

Organizations & group practices 3

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 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1922081322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4174",
            "address_2": "ANESTHESIA OF RANDOLPH COUNTY PA",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272044174",
            "telephone_number": "336-683-5284",
            "fax_number": "336-683-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WHITE OAK ST",
            "address_2": "RANDOLPH HOSPITAL",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035434",
            "telephone_number": "336-683-5284",
            "fax_number": "336-683-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "CLARK",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "164569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.