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

Individual provider Anesthesiology Physician · NPI 1114914652

Carl Mark Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Conway, Arkansas. Qualified in 1985, 41 years ago. Practices with Conway Anesthesiology Consultants, PA, a 22-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
41
Licensed in
AR
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

525 Western Ave Ste 201
Conway, AR 72034-4967
Phone: (501) 327-6665
Fax: (501) 730-0289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence C00642 (AR)

Record details

NPI number1114914652
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJuly 13, 2026
Mailing address525 Western Ave, Ste 201, Conway, AR 72034-4967

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Conway Anesthesiology Consultants, Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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