Daniel Ewing Clark is a Idaho Falls, Idaho based nurse anesthetist with 8 years of experience as Anesthesia Administration. He completed he graduation in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Daniel Ewing Clark is 54479 for Anesthesia Administration in Idaho. his current practice location is 3100 Channing Way, Idaho Falls. Patients can reach him at 208-529-6111. Daniel Ewing Clark is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1295267029. Daniel Ewing Clark is a certified 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.
Complete Profile:
Daniel Ewing Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3100 Channing Way, Idaho Falls, Idaho, 83404-7533
Phone:
208-529-6111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7214214618
Enrollment ID:
I20200131002314
NPI Number:
1295267029
NPI Enumeration Date:
30 Mar, 2017
NPI Last Update On:
03 Feb, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Daniel Ewing Clark are as mentioned below.
License Number
Specialization
State
Status
54479
Anesthesia Administration
Idaho
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Daniel Ewing Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
North Bend Medical Center Inc (5597677716)
93
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3100 Channing Way, Idaho Falls, Idaho
Zip:
83404-7533
Phone Number:
208-529-6111
Fax Number:
--
Patients can reach Daniel Ewing Clark at 3100 Channing Way, Idaho Falls, Idaho or can call to book an appointment on 208-529-6111.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.