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:
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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 09 June, 2025.