MRS. ELEANOR ANN CLARK M.D.
NPI 1114928546
Obstetrics & Gynecology - Gynecology in Casa Grande, AZ

NPI Status: Active since August 09, 2005

Contact Information

1780 E FLORENCE BLVD
SUITE 108
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 381-6758
Fax: (520) 381-6040

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  • Individual
  • Female
  • Obstetrics & Gynecology
  • Gynecology

About ELEANOR CLARK

This page provides the complete NPI Profile along with additional information for Eleanor Clark, a women's health care provider established in Casa Grande, Arizona with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1114928546 assigned on August 2005. The practitioner's primary taxonomy code is 207VG0400X with license number 16389 (AZ). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1114928546
Provider Name
MRS. ELEANOR ANN CLARK M.D.
Other Name
ELEANOR ANN MOKRANE M.D.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1780 E FLORENCE BLVD SUITE 108 CASA GRANDE, AZ 85122
Location Phone
(520) 381-6758
Location Fax
(520) 381-6040
Mailing Address
1780 E FLORENCE BLVD STE 108 CASA GRANDE, AZ 85122
Mailing Phone
(520) 381-6758
Mailing Fax
(520) 381-6040
Is Sole Proprietor?
No
Enumeration Date
08-09-2005
Last Update Date
08-18-2014
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Women's health care providers like Eleanor Clark treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
16389
License State
AZ
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
243139MEDICAID (05)AZ 
D36679MEDICARE UPIN (02)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114928546
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241821658
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 6 + 5 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1114928546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518963198DR. NADEEM A KAZI M.D.
Individual
Internal Medicine (Gastroenterology)1780 E FLORENCE BLVD STE 104
CASA GRANDE, AZ 85122
(520) 426-1928
1528051620GREATER ARIZONA GASTROENTEROLOGY & ASSOCIATES PC
Organization
Internal Medicine (Gastroenterology)1780 E FLORENCE BLVD #104
CASA GRANDE, AZ 85122
(520) 426-1928
1619351210HENRY L GIVRE MD FCCP PC
Organization
Internal Medicine (Pulmonary Disease)1780 E FLORENCE BLVD STE 110
CASA GRANDE, AZ 85122
(520) 836-8701
1730859992 ZACHARY KOPECKY PA-C
Individual
Physician Assistant (Medical)1780 E FLORENCE BLVD
CASA GRANDE, AZ 85122
(520) 374-8915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114928546, enumerated in the NPI registry as an "individual" on August 09, 2005

The provider is located at 1780 E Florence Blvd Suite 108 Casa Grande, Az 85122 and the phone number is (520) 381-6758

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207VG0400X with a focus in Gynecology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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