Clark Kellogg
Clark Kellogg is an Anesthesiology Assistant in Mansfield, Ohio. Qualified in 2022, 4 years ago. Practices with Anesthesia Associates of Mansfield, Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2022
Practice location Address checks out
799 Lexington AveMansfield, OH 44907-1906
Phone: (419) 756-5133
Fax: (419) 774-9707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 32698321 (OH) |
|---|
Record details
| NPI number | 1457098154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2022 |
| Last updated in NPPES | January 9, 2023 |
| Certification date | January 9, 2023 |
| Mailing address | 5910 Bluestone Way, Lewis Center, OH 43035-7550 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Anesthesia Associates Of Mansfield, Inc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mansfield
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Wosen D Assefa
335 Glessner Ave, Mansfield, OH 44903-2269 · (216) 816-6982
-
Mr. Joel Baker
799 Lexington Ave, Mansfield, OH 44907-1906 · (419) 756-5133
-
Vincent James Cancilla
335 Glessner Ave, Mansfield, OH 44903-2269 · (419) 520-2882
-
Abigail C McMullen
335 Glessner Ave, Mansfield, OH 44903-2269 · (419) 526-8000
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Mr. Nathaniel A Walton, AA
799 Lexington Ave, Mansfield, OH 44907-1906 · (419) 756-5133