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
Show map & directions
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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 |
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 |
Medicare patients and services, 2024
| Medicare patients | 162 |
|---|---|
| Services billed | 169 |
| Average patient age | 74 |
Payments from drug and device companies, 2025
| Food and Beverage | $49 |
|---|
Practises at
- Ohiohealth Mansfield Hospital Hospital · Mansfield, OH
Colleagues at Anesthesia Associates of Mansfield, Inc
- Mr. Joel Baker Anesthesiologist Assistant · Mansfield, OH
- MS. Esther Kay Baumann, CRNA Certified Registered Nurse Anesthetist · Mansfield, OH
- Keely Marie Burrer, CRNA Certified Registered Nurse Anesthetist · Mansfield, OH
- Vincent James Cancilla Anesthesiologist Assistant · Mansfield, OH
- David Philip Kallile, MD Anesthesiology Physician · Delaware, OH
- Dr. Charles Lowrey III, MD, MPH Anesthesiology Physician · Lexington, KY
- Abigail C McMullen Anesthesiologist Assistant · Mansfield, OH
- Shannon Marie Oyster, CRNA Registered Nurse · Mansfield, OH
- Mrs. Amy Joann Secor, CRNA Certified Registered Nurse Anesthetist · Mansfield, OH
- Garrett Brendan Stough, MSN, CRNA Certified Registered Nurse Anesthetist · Mansfield, OH
- Mr. Geoffrey Allen Swiger, CRNA Certified Registered Nurse Anesthetist · Shelby, OH
- Brandon Wagner Certified Registered Nurse Anesthetist · Mansfield, OH
Other providers in Mansfield
-
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
-
Mr. Nathaniel A Walton, AA
799 Lexington Ave, Mansfield, OH 44907-1906 · (419) 756-5133