KEVIN ALAN CLARK
NPI 1710564901
Anesthesiology in Gainesville, FL
About Kevin Alan Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN ALAN CLARK (NPI 1710564901) is an individual anesthesiology provider in Gainesville, Florida, licensed in Florida (ME173252) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kevin Alan Clark 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uf Health Shands Hospital
Acute Care Hospitals · Gainesville, FLOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
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 Kevin Clark's NPI number?
The NPI number for Kevin Clark is 1710564901. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Kevin Clark located?
Kevin Clark practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0077.
What is Kevin Clark's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Kevin Clark enrolled in Medicare?
Yes. Kevin 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 Kevin Clark affiliated with any hospitals?
According to CMS data, Kevin Clark is affiliated with Uf Health Shands Hospital.
When was this NPI record last updated?
The NPPES record for Kevin Clark was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Kevin Alan Clark · NPI 1710564901
Anesthesiology physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1710564901 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** ME173252 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 SW ARCHER RD, Gainesville, FL 32610-3003
- **Phone:** (352) 265-0077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Jc Edwards School Of Medicine, Marshall University, class of 2021
## Record status
- **NPPES last updated:** August 1, 2025
- **Other identifiers:** Medicaid 126933600 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1710564901) · Data from the CMS NPPES public registry.