| Jonathan B Clark, CRNA | |
|
164 Summit Ave, Providence, RI 02906-2853 | |
| (401) 793-4575 | |
| Not Available |
| Full Name | Jonathan B Clark |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 164 Summit Ave, Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275923781 | NPI | - | NPPES |
| 110106160A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN277232 (Massachusetts) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN00302 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan B Clark, CRNA 333 Ricciuti Dr, Apt. 1824, Quincy, MA 02169-6287 Ph: () - | Jonathan B Clark, CRNA 164 Summit Ave, Providence, RI 02906-2853 Ph: (401) 793-4575 |
Brian F Girard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Peter W Wolferseder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Marie A Mills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Beth Vanpraag, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Paulette Champion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Angela Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Garrick Mark Whitlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000 |