LISA MARIE CLARK CAA
NPI 1215998927
Anesthesiologist Assistant in Cleveland, OH
NPI Status: Active since March 31, 2006
Contact Information
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-5583
- Individual
- Female
- Years of Experience 23
- Anesthesiologist Assistant
- Accepts Medicare Approved Payment
About LISA CLARK
This page provides the complete NPI Profile along with additional information for Lisa Clark, a provider established in Cleveland, Ohio with a medical specialization in Anesthesiologist Assistant and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1215998927 assigned on March 2006. The practitioner's primary taxonomy code is 367H00000X with license number 67000102 (OH). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1215998927
- Provider Name
- LISA MARIE CLARK CAA
- Other Name
- MS. LISA MARIE JULIAN CAA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11100 EUCLID AVE CLEVELAND, OH 44106
- Location Phone
- (216) 844-5583
- Mailing Address
- 11100 EUCLID AVE CLEVELAND, OH 44106
- Mailing Phone
- (216) 844-5583
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2006
- Last Update Date
- 11-25-2024
- Code Navigator
Location Map
Secondary Locations
- 1701 N Senate Blvd
Indianapolis, IN 46202
(888) 484-3258 - 151 Pennsylvania Pkwy
Carmel, IN 46280
(317) 817-1100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 67000102
- License State
- OH
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant | 75000044A (IN) |
2 | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant | 1000-00543 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
000001295036 | OTHER (01) | IN | ANTHEM PTAN |
1215998927 | MEDICAID (05) | NC | |
1215998927 | OTHER (01) | NC | TRICARE |
185M9 | OTHER (01) | NC | BCBS |
1102450646 | OTHER (01) | IN | ANTHEM PTAN |
377459 | OTHER (01) | OH | ANTHEM BCBS |
2438348 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Lisa Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 6002709243
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20190918000703
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for electroshock therapy
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.
This service was performed 23 times for 12 patientsThis procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
This service was performed 20 times for 20 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Lisa Clark is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
INDIANA UNIVERSITY HEALTH NORTH HOSPITAL | 11700 N MERIDIAN ST CARMEL, IN 46032 | (317) 688-2000 | Acute Care Hospitals |
Reviews for LISA MARIE CLARK CAA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 1 | 5 | 9 | 9 | 8 | 9 | 2 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 2 | 5 | 18 | 9 | 16 | 9 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 2 + 5 + 1 + 8 + 9 + 1 + 6 + 9 + 4 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1215998927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
BETTY CARLSON CRNA
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
MIN YAO MD
Radiology
(Radiation Oncology)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. AYMAN ALI SALEH MD
Pediatrics
(Pediatric Hematology-Oncology)
11100 EUCLID AVE
BOLWELL 6TH FLOOR
CLEVELAND, OH
ZIP 44106
PANKAJ D SHAH MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
JOSEPH HOFFMAN AA
Anesthesiologist Assistant
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
MARK ZAHNISER MD
Anesthesiology
(Critical Care Medicine)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. JEREMY C HOBAN MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
ERIC F KAISER MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
MS. SHERYL GROBELNY CRNA
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
SARAH RUSSELL AA
Anesthesiologist Assistant
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
MS. SHIRLEY KRAMER STERNEN CRNA
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. PRABHA MURTHY M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. MARY C. BOLDEN MCHUGH M.D.
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
THOMAS JOSEPH SFERRA MD
Pediatrics
(Pediatric Gastroenterology)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. GREGORY BRANDON ATKINS MD
Internal Medicine
(Cardiovascular Disease)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
SANJAY P AHUJA MD
Pediatrics
(Pediatric Hematology-Oncology)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. MARY ELAINE PATRINOS MD
Pediatrics
(Neonatal-Perinatal Medicine)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. EDWIN G AVERY IV MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
MRS. DIANE ELIZABETH SOLDERITSCH CNP
Nurse Practitioner
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
DR. CATHERINE ROSCOE-HERBERT DNP, APRN-BC, GNP/CN
Nurse Practitioner
(Gerontology)
11100 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215998927, enumerated as an "individual" on March 31, 2006.
The provider is located at 11100 EUCLID AVE CLEVELAND, OH 44106 and the phone number is (216) 844-5583.
Anesthesiologist Assistant with taxonomy code 367H00000X.
The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid, Tricare and. Please consult your insurance carrier or call the provider to verify.
Lisa Clark is affiliated with: INDIANA UNIVERSITY HEALTH NORTH HOSPITAL.