CLARK KELLOGG
NPI 1457098154
Anesthesiologist Assistant in Mansfield, OH

Q: What is Clark Kellogg's NPI number?

The NPI number for Clark Kellogg is 1457098154. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Clark Kellogg's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Kellogg was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 16, 2022Accepts Medicare Assignment

799 LEXINGTON AVE, MANSFIELD, OH 44907(419) 756-5133(419) 774-9707 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Nov 4, 2022, May 16, 2022 (3 updates tracked since 2022).

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About Clark Kellogg NPPES

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

CLARK KELLOGG (NPI 1457098154) is an individual anesthesiologist assistant in Mansfield, Ohio, licensed in Ohio (32698321) and active in the NPI registry since May 2022. He is affiliated with Ohiohealth Mansfield Hospital and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457098154

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameCLARK KELLOGG

Location Address799 LEXINGTON AVEMansfield, OH 44907-1906

Mailing Address5910 Bluestone WayLewis Center, OH 43035-7550 · (614) 301-2639

Phone(419) 756-5133

Fax(419) 774-9707

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 16, 2022

Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1457098154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in OH · 32698321

Definition

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.

799 LEXINGTON AVE, Mansfield, OH 44907

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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

Clark Kellogg 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 ID5799155032

PECOS Enrollment IDI20230103002254

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

25 services25 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This 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.

22 services22 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

15 services15 patients

Anesthesia for other procedure on upper abdomen 00790

Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

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.

MS. ESTHER KAY BAUMANN CRNA

Nurse Anesthetist, Certified Registered