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ED J CLARK CRNA
NPI 1306800222
Nurse Anesthetist, Certified Registered in Canton, OH

Active since April 17, 2006Accepts Medicare Assignment
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: October 31, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ed J Clark Crna NPPES

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

ED J CLARK CRNA (NPI 1306800222) is an individual nurse anesthetist, certified registered in Canton, Ohio, licensed in Ohio (RN217418) and active in the NPI registry since April 2006. He is affiliated with Summa Health System and is a graduate of Other (1992).

NPPES Registry Identity

NPI1306800222
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameED J CLARKCredential: CRNA
Location Address2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORPCanton, OH 44710
Mailing Address2600 Sixth Street Sw, Ohio Hospital Based Physician CorpCanton, OH 44710 · (330) 363-7462 · Fax (330) 363-7679
Phone(330) 363-7462
Fax(330) 363-7679
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 31, 2007
✔ NPI 1306800222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · RN217418
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.
2600 SIXTH STREET SW, Canton, OH 44710
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Other Identifiers 2

Medicare PINC18213713OH
Medicaid0886760OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ed J 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 ID4880690197
PECOS Enrollment IDI20061010000485

Medicare Billing Reassignments

5

Medicare enrollment records show Ed Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Primary Care Practices Inc
21 mi
Urgent Care
145 WEST AVE STE 2
Tallmadge, OH 44278
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1336340504 (330) 633-8341
University Hospitals Medical Group Inc
50 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Safe Anesthesia Geneva LLC
73 mi
Nurse Anesthetist, Certified Registered
870 W MAIN ST
Geneva, OH 44041
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1821327636 (440) 415-0316
Northstar Anesthesia Of Ohio LLC
139 mi
Anesthesiology
2615 E HIGH ST
Springfield, OH 45505
  • Reassigned Medicare billing, Ohio enrollment
  • 471 clinicians in this Medicare group
NPI 1417276429 (214) 687-0496
Dayton Anesthesia & Pain Services, LLC
164 mi
Anesthesiology
405 W GRAND AVE
Dayton, OH 45405
  • Reassigned Medicare billing, Ohio enrollment
  • 419 clinicians in this Medicare group
NPI 1629401898 (937) 723-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit 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.

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
ANTHONY CLARK CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
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

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 Ed Clark's NPI number?

The NPI number for Ed Clark is 1306800222. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Ed Clark located?

Ed 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 Ed Clark's specialty?

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

Is Ed Clark enrolled in Medicare?

Yes. Ed 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.

Which organizations bill Medicare for Ed Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ed Clark reassigns Medicare benefits to 5 organizations: University Primary Care Practices Inc (Tallmadge, OH), University Hospitals Medical Group Inc (Cleveland, OH), Safe Anesthesia Geneva LLC (Geneva, OH), Northstar Anesthesia Of Ohio LLC (Springfield, OH) and Dayton Anesthesia & Pain Services, LLC (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ed Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ed Clark accept?

Health plans from CareSource list Ed Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ed Clark affiliated with any hospitals?

According to CMS data, Ed Clark is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Ed Clark was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.