MR. RICHARD D CLARK RN ARNP CRNA
NPI 1659355121
Nurse Anesthetist, Certified Registered in Lansing, IL
NPI Status: Active since November 30, 2005
Contact Information
18221 TORRENCE AVE
LANSING, IL
ZIP 60438
Phone: (708) 895-9450
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About RICHARD CLARK
This page provides the complete NPI Profile along with additional information for Richard Clark, a provider established in Lansing, Illinois with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1659355121 assigned on November 2005. The practitioner's primary taxonomy code is 367500000X with license number 09.006191 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1659355121
- Provider Name
- MR. RICHARD D CLARK RN ARNP CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 18221 TORRENCE AVE LANSING, IL 60438
- Location Phone
- (708) 895-9450
- Mailing Address
- 18221 TORRENCE AVE LANSING, IL 60438
- Mailing Phone
- (708) 895-9408
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-30-2005
- Last Update Date
- 05-21-2010
- Code Navigator
Location Map
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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 09.006191
- License State
- IL
- Taxonomy Description
- (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.
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 | 163W00000X | Nursing Service Providers | Registered Nurse | 1484659051 (KS) |
| 2 | 163W00000X | Nursing Service Providers | Registered Nurse | 134677 (MO) |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 54725 (KS) |
| 4 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 54725 (KS) |
| 5 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 134677 (MO) |
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.
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 |
|---|---|---|---|
| 100385650C | OTHER (01) | KANSAS MEDICAL ASSISTISTA | |
| 27862039 | OTHER (01) | PREFERRED CARE BLUE | |
| H81A520 | MEDICARE ID-TYPE UNSPECIFIED (04) | MO | |
| P00155221 | OTHER (01) | RR MEDICARE | |
| 915697213 | MEDICAID (05) | MO | |
| 481192875 | OTHER (01) | COVENTRY | |
| 27862039 | OTHER (01) | PREFERRED HEALTH PROFESSI | |
| 161280 | OTHER (01) | BCBS OF KANSAS | |
| 27862039 | OTHER (01) | BCBS OF KANSAS CITY | |
| 481192875 | OTHER (01) | CIGNA | |
| P13178 | MEDICARE UPIN (02) | ||
| P13178 | OTHER (01) | PREMIER HEALTH PLANS | |
| 481192875 | OTHER (01) | AETNA | |
| 481192875 | OTHER (01) | HUMANA | |
| 481192875 | OTHER (01) | UNITED HEALTH CARE | |
| 161280 | MEDICARE ID-TYPE UNSPECIFIED (04) | KS | |
| 10001771600 | OTHER (01) | COMMUNITY HEALTH PLAN | |
| H81A520B | MEDICARE ID-TYPE UNSPECIFIED (04) | MO |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1659355121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
LANSING, IL 60438
LANSING, IL 60438
LANSING, IL 60438
LANSING, IL 60438
LANSING, IL 60438
LANSING, IL 60438
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659355121, enumerated as an "individual" on November 30, 2005.
The provider is located at 18221 TORRENCE AVE LANSING, IL 60438 and the phone number is (708) 895-9450.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Blue Cross. Please consult your insurance carrier or call the provider to verify.
