Timothy Michael Clark is a Tyler, Texas based nurse anesthetist with 20 years of experience as Anesthesia Administration. He completed he graduation in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy Michael Clark is 074887 for Anesthesia Administration in Texas. his current practice location is 800 E Dawson St, Tyler. Patients can reach him at 903-531-2668. Timothy Michael Clark is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1912017039. Timothy Michael 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:
Timothy Michael 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:
20+ years
Medical School Attended:
Other
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
800 E Dawson St, Tyler, Texas, 75701-2036
Phone:
903-531-2668
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:
4486661303
Enrollment ID:
I20060316000466
NPI Number:
1912017039
NPI Enumeration Date:
30 Aug, 2006
NPI Last Update On:
23 Oct, 2017
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy Michael Clark are as mentioned below.
License Number
Specialization
State
Status
074887
Anesthesia Administration
Texas
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
Christus Mother Frances Hospital (450102)
Tyler, TX
Acute Care 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 Timothy Michael Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mother Frances Hospital Regional Health Care Center (9234025636)
103
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy Michael Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
183309707
Medicaid
Texas
75-0976930-005
Other
Texas
TRICARE
P01877259
Other
Texas
MEDICARE RAIL ROAD
183309702
Medicaid
Texas
75-2771569-008
Other
TRICARE
183309703
Medicaid
Texas
88839U
Other
Texas
BCBS
138309701
Medicaid
Texas
P01246269
Other
Texas
RAIL ROAD
86167U
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 841656, Dallas, Texas
Zip:
75284-1656
Phone Number:
903-531-4522
Fax Number:
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Patients can reach Timothy Michael Clark at 800 E Dawson St, Tyler, Texas or can call to book an appointment on 903-531-2668.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.