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ANTHONY CLARK CRNA
NPI 1013964089
Nurse Anesthetist, Certified Registered in Canton, OH

Active since May 27, 2006Accepts Medicare Assignment
77.26/100
CMS Quality Rating
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP, CANTON, OH 44710(330) 363-7462(330) 363-7679 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Clark Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY CLARK CRNA (NPI 1013964089) is an individual nurse anesthetist, certified registered in Canton, Ohio, licensed in Ohio (APRN.CRNA.03168) and active in the NPI registry since May 2006. He is affiliated with Aultman Hospital and is a graduate of Other (1996).

NPPES Registry Identity

NPI1013964089
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANTHONY CLARKCredential: CRNA
Location Address2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORPCanton, OH 44710
Mailing AddressPo Box 80690Canton, OH 44708-0690 · (330) 363-7444 · Fax (330) 363-7770
Phone(330) 363-7462
Fax(330) 363-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1013964089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · APRN.CRNA.03168
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X · License KN237880 (OH)
2600 SIXTH STREET SW, Canton, OH 44710
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Other Identifiers 1

Medicaid2113779OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Clark Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810022910
PECOS Enrollment IDI20100315000564

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.88
Promoting Interoperability98
Improvement Activities40
Cost56.01

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROXIE LEE RUSH CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
SUSAN E MERCER MD
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Stark County (330) 452-9911
MADHAVI SUNKAR MD
Internal Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Stark County (330) 452-9911
JEFFERY P KELLER CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
LISA RICHER FORD MD
Pediatrics (Neonatal-Perinatal Medicine)
2600 SIXTH STREET SW, HARTER 266
CANTON, OH 44710
Stark County (330) 438-7430
ALLISON M OPRANDI MD
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Stark County (330) 452-9911
PAULETTE ANN MARTIN CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
YVONNE WOODFORD JACKSON CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Clark's NPI number?

The NPI number for Anthony Clark is 1013964089. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Anthony Clark located?

Anthony Clark practices at 2600 Sixth Street SW Ohio Hospital Based Physician Corp, Canton, OH 44710. The listed phone number is (330) 363-7462.

What is Anthony Clark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Anthony Clark enrolled in Medicare?

Yes. Anthony Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Anthony Clark affiliated with any hospitals?

According to CMS data, Anthony Clark is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Clark was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.