Mark W Clark is a Kennett, Missouri based nurse anesthetist with 41 years of experience as Anesthesia Administration. He completed he graduation in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark W Clark is 087215 for Anesthesia Administration in Missouri. his current practice location is 1201 First St, Kennett. Patients can reach him at 573-888-4522. Mark W Clark is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1154549061.
Mark W 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:
Mark W 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: | 41+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1984 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1201 First St, Kennett,
Missouri, 63857 |
| Phone: | 573-888-4522 |
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: | 9133189939 |
| Enrollment ID: | I20200428000863 |
| NPI Number: | 1154549061 |
| NPI Enumeration Date: | 23 Apr, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark W Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 087215 | Anesthesia Administration | Missouri | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Piggott Community Hospital (041330) | Piggott, AR | Critical Access Hospital |
| Great River Medical Center (040069) | Blytheville, AR | Acute Care Hospital |
| Delta Memorial Hospital (041326) | Dumas, AR | Critical Access Hospital |
| Cedar County Memorial Hospital(261323) | El dorado springs, MO | Critical Access Hospital |
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 Mark W Clark has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mississippi County Hospital System (9739230723) | 17 |
| Piggott Community Hospital (0345140448) | 16 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12661 Foxwood Pt,
Poplar Bluff, Missouri |
| Zip: | 63901-7745 |
| Phone Number: | 573-686-7622 |
| Fax Number: | -- |
Patients can reach Mark W Clark at
1201 First St, Kennett, Missouri or can
call to book an appointment on 573-888-4522.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.