DANIEL JAMES CLARK DO NPI 1003017229

Anesthesiology in Fort Mohave, AZ

NPI 1003017229 Individual Male Years of Experience 14 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment

About DANIEL CLARK

Daniel Clark is a provider established in Fort Mohave, Arizona and his medical specialization is anesthesiology with more than 14 years of experience. The NPI number of Daniel Clark is 1003017229 and was assigned on May 2007. The practitioner's primary taxonomy code is 207L00000X with license number 4708 (OK). The provider is registered as an individual and his NPI record was last updated 8 years ago.

An anesthesiologist like Daniel James Clark Do manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Daniel Clark is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Daniel Clark is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with The Queens Medical Center and Doctors Medical Center.

NPI

1003017229

Provider Name DANIEL JAMES CLARK DO
Provider Location Address5330 S HIGHWAY 95 FORT MOHAVE, AZ 86426
Provider Mailing Address5665 NEW NORTHSIDE DR SUITE 320 ATLANTA, GA 30328
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2008
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-29-2007
Last Update Date12-05-2013


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.4708
License StateOK
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DANIEL JAMES CLARK DO
5330 S HIGHWAY 95
FORT MOHAVE, AZ
ZIP 86426
Phone: (928) 788-7115
Fax: (770) 874-5483

Get Directions


Mailing Address

DANIEL JAMES CLARK DO
5665 NEW NORTHSIDE DR
SUITE 320
ATLANTA, GA
ZIP 30328
Phone: (770) 874-5400
Fax: (770) 874-5483



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9931258159
PECOS Enrollment IDI20110110000240, I20201118001663
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 23Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 18Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • 15Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Clark is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THE QUEENS MEDICAL CENTER1301 PUNCHBOWL ST
HONOLULU, HI 96813
(808) 538-9011Acute Care Hospitals120001
DOCTORS MEDICAL CENTER1441 FLORIDA AVENUE
MODESTO, CA 95350
(209) 578-1211Acute Care Hospitals50464

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyE-5858ARNo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology20A10260CANo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

3207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyOP 60011959WANo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

4207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology4799AZNo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

5390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramARNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568456473 ANDRES ALVARADO M.D.
Individual
Anesthesiology5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273
1518947886DR. KENNETH DUDLEY LOCKE DO
Individual
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7069
1134142664DR. MARK E LAURSEN MD
Individual
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7064
1992992747EMERGENCY PHYSICIANS MEDICAL GROUP INC
Organization
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(330) 493-4443
1225205065PHC-FORT MOHAVE INC
Organization
General Acute Care Hospital5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7845
1386944619EMERGENCY MEDICINE PHYSICIANS OF MOHAVE COUNTY, PLLC
Organization
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7052
1609124544ARIZONA PHYSICIAN SERVICES LLC
Organization
Anesthesiology5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273
1154758043VALLEY VIEW EMERGENCY GROUP LLC
Organization
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7115
1316354400 NATHAN ETHRIDGE PA-C
Individual
Physician Assistant5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273
1922262286DR. WADE GRINDLE M.D.
Individual
Anesthesiology5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7090
1598157745FORT MOHAVE EMERGENCY MEDICAL ASSOCIATES INC
Organization
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273
1356639975MRS. ELIZABETH ANN BESELER P.T.
Individual
Physical Therapist5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-3604
1962959767EM MEDICAL MANAGEMENT OF FORT MOHAVE, LLC
Organization
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7069
1952599870PHC-FORT MOHAVE INC
Organization
Medicare Defined Swing Bed Unit5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273
1316483720RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA PLC
Organization
Radiology (Diagnostic Radiology)5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7228
1124309844 PATRICK L BALLOU PA-C
Individual
Physician Assistant5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-7065
1285163121NES ARIZONA INC
Organization
Emergency Medicine5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273
1649766981PHC-FORT MOHAVE INC
Organization
Medicare Defined Swing Bed Unit5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2773
1265067920MS. RACHEL OTIS MLS
Individual
Specialist/Technologist, Pathology5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(948) 788-7189
1962573436MEDSTAT ANESTHESIA CONSULTANTS
Organization
Anesthesiology5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
(928) 788-2273

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.