Charles Clark
Charles Clark is registered under Certified Registered Nurse Anesthetist (CRNA) in Baltimore, Maryland. Qualified in 2021, 5 years ago. Practices with Lifebridge Anesthesia Associates LLC, a 109-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.
- Years since qualifying
- 5
- Licensed in
- MD, PA
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
3001 S Hanover StBaltimore, MD 21225-1233
Phone: (410) 350-3200
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1701 Innovation Dr, York, PA 17408-8815 — (717) 843-8623
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence R217337 (MD) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence RN702962 (PA) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence RN702962 (PA) |
Record details
| NPI number | 1265023535 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 29, 2021 |
| Last updated in NPPES | June 24, 2024 |
| Certification date | June 24, 2024 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Lifebridge Anesthesia Associates Llc — 109 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 102 |
| Average patient age | 72 |
Practises at
- Carroll Hospital Center Hospital · Westminster, MD · listed as Carroll Hospital Center, Inc
- Medstar Franklin Square Medical Center Hospital · Rosedale, MD
- Medstar Harbor Hospital Hospital · Baltimore, MD · listed as Harbor Hospital
Colleagues at Lifebridge Anesthesia Associates LLC
- Monica Agree, MD Anesthesiology Physician · Baltimore, MD
- Aarohi Ambardekar, DO Anesthesiology Physician · Clinton, MD
- Steven Bluestein, CRNA Certified Registered Nurse Anesthetist · Baltimore, MD
- Marie Lynn Bozman, CRNA Registered Nurse · Baltimore, MD
- Hannah Catherine Bulick Registered Nurse · Baltimore, MD
- Jan Gaspar Certified Registered Nurse Anesthetist · Baltimore, MD
- Jennifer L Hoff, CRNA Certified Registered Nurse Anesthetist · Towson, MD
- Angel Patel Registered Nurse · Baltimore, MD
- Jeffrey Sagel, DO Anesthesiology Physician · Baltimore, MD
- Farrah Diba Sajan, MD Anesthesiology Physician · Annapolis, MD
- Melissa Erin Watson, CRNA Certified Registered Nurse Anesthetist · Baltimore, MD
- Nansen Yu Anesthesiology Physician · Baltimore, MD
Other providers in Baltimore
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-
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Jeff Chuang, RN
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-
MS. Jacqueline Cousins, RN
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Lindsay Cronin
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Denika Dantzler, NP
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Mr. Jonathan Baldwin Ladia De Aquino
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