WILLIAM MATT CLARK MD NPI 1386759041

NPI Information

  • NPI: 1386759041
  • Provider Name: WILLIAM MATT CLARK, MD
  • Classification: Anesthesiology - 207L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 N MEDICAL DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 588-3272

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NPI Details

William Matt Clark, MD is an anesthesiology in Salt Lake City, UT. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. William Matt Clark, MD NPI is 1386759041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 588-3272
Fax: (801) 588-3279

The NPI 1386759041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology170625-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1416932OTHERUTAHDESERET MUTUAL
2401765MEDICAIDMONTANA
3PRA01666OTHERUTAHMOLINA
4870280408CL2OTHERUTAHEDUCATORS MUTUAL
52430OTHERUTAHHEALTHY U
6107010384101OTHERUTAHIHC
717965OTHERUTAHPEHP
8QM0000049510OTHERUTAHALTIUS
92000040OTHERUTAHUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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