Nathan R. Clark, MD
NPI 1588242937ActiveIndividual· Student in an Organized Health Care Education/Training Program· Lubbock, TX
Student in an Organized Health Care Education/Training Program (MD) in Lubbock, Texas, trained at University of Colorado School of Medicine, Aurora (class of 2021). Enrolled in Medicare as practitioner - anesthesiology.
Overview
| NPI | 1588242937 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 29, 2021 |
| Last updated in NPPES | Jul 1, 2022 |
| Certified by provider | Jul 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (WY) |
|---|
Education and affiliations
| Medical school | University of Colorado School of Medicine, Aurora |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Anesthesiology |
Medical group
- Wyoming Anesthesia, LLCCasper, WY · 17 clinicians
Hospital affiliation
- Banner Wyoming Medical CenterCasper, WY
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All 436 Student in an Organized Health Care Education/Training Program providers in Lubbock · All Student in an Organized Health Care Education/Training Program providers in Texas