Justin A Clark , AA
Anesthesiologist Assistant • Cincinnati, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Justin Clark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Justin Clark, AA was a registered Anesthesiologist Assistant practicing in Cincinnati, OH. Throughout an active medical career spanning 11 years, Justin Clark provided care at the practice location at 2139 AUBURN AVE until profile deactivation on 2020-12-03.
Practice Location & Contact Primary Location
2139 Auburn Ave
Cincinnati, OH 452192906
Specialty Benchmarks & Practice Insights
Comparative analytics for Anesthesiologist Assistant in Cincinnati, OH
Practicing in Cincinnati, OH (454 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 367H00000X
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Anesthesiologist Assistant
Physician Assistant
Anesthesiologist Assistant
Anesthesiologist Assistant
Clinical Nurse Specialist - Acute Care
ARNPBC, ACNP, Master of Science in Nursing
Physician Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 03, 2020
NPI status registered as active in NPPES database
Registered at 2139 AUBURN AVE, CINCINNATI, OH 452192906 (Tel: 5135852000)
Registered at 255 WEST MICHIGAN AVE,, JACKSON, MICHIGAN, MI 492041123 (Tel: 5177876440)
Recorded as JUSTIN CLARK, AA
Anesthesiologist Assistant (License #67.000156 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
255 West Michigan Ave,, Jackson
Michigan, MI 492041123
Phone: 5177876440
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