Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Clark, CRNA

Individual provider Anesthesiology Physician · NPI 1013964089

Anthony Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Canton, Ohio. Qualified in 1996, 30 years ago. Practices with Aultman Deuble Heart and Vascular Hospital, LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
30
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2600 Sixth Street SW Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone: (330) 363-7462
Fax: (330) 363-7679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.03168 (OH)
Anesthesiology Physician Taxonomy 207L00000X · Licence KN237880 (OH)

Record details

NPI number1013964089
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing addressPo Box 80690, Canton, OH 44708-0690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Aultman Deuble Heart And Vascular Hospital, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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