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

ED J Clark, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1306800222

ED J Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Canton, Ohio. Qualified in 1992, 34 years ago. Practices with Dayton Anesthesia and Pain Services LLC, a 223-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
34
Licensed in
OH
In the registry since
2006
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

2600 Sixth Street SW Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone: (330) 363-7462
Fax: (330) 363-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN217418 (OH)

Record details

NPI number1306800222
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 17, 2006
Last updated in NPPESOctober 31, 2007
Mailing address2600 Sixth Street Sw, Ohio Hospital Based Physician Corp, Canton, OH 44710

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Dayton Anesthesia And Pain Services Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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