CLINTON EDWARD CLARKE MD
NPI 1164459319
Dermatology in Phoenix, AZ
NPI Status: Active since June 26, 2006
Contact Information
1300 N 12TH ST
SUITE 605
PHOENIX, AZ
ZIP 85006
Phone: (602) 839-2668
Fax: (602) 839-2067
- Individual
- Male
- Dermatology
About CLINTON CLARKE
This page provides the complete NPI Profile along with additional information for Clinton Clarke, a provider established in Phoenix, Arizona with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1164459319 assigned on June 2006. The practitioner's primary taxonomy code is 207N00000X with license number 33324 (AZ). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1164459319
- Provider Name
- CLINTON EDWARD CLARKE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1300 N 12TH ST SUITE 605 PHOENIX, AZ 85006
- Location Phone
- (602) 839-2668
- Location Fax
- (602) 839-2067
- Mailing Address
- 1300 N 12TH ST SUITE 605 PHOENIX, AZ 85006
- Mailing Phone
- (602) 839-2668
- Mailing Fax
- (602) 839-2067
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-26-2006
- Last Update Date
- 11-10-2011
- Code Navigator
A dermatologist like Clinton Clarke is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33324
- License State
- AZ
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | 33324 (AZ) |
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.
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 |
|---|---|---|---|
| Z145980 | MEDICARE PIN (08) | AZ | |
| P00616915 | OTHER (01) | AZ | RAILROAD MEDICARE |
| 120646 | MEDICARE PIN (08) | AZ | |
| Z145980 | OTHER (01) | AZ | MEDICARE PTAN |
| Z130602 | MEDICARE PIN (08) | AZ | |
| Z131411 | MEDICARE PIN (08) | AZ | |
| P00745791 | OTHER (01) | AZ | RAILROAD MEDICARE 8/1/09 |
| 120447 | MEDICARE PIN (08) | 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. | |||||||||
| 1 | 1 | 6 | 4 | 4 | 5 | 9 | 3 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 5 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 5 + 1 + 8 + 3 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1164459319 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831192590 | WILLIAM WALTER HOLLAND M.D. Individual | Family Medicine | 1300 N 12TH ST SUITE 605 PHOENIX, AZ 85006 (602) 239-4567 |
| 1518960996 | ANDRZEJ DMOWSKI MD Individual | Emergency Medicine | 1300 N 12TH ST SUITE 301 PHOENIX, AZ 85006 (602) 239-6968 |
| 1740287002 | MS. TAMARA GALLOWAY PT Individual | Physical Therapist | 1300 N 12TH ST STE 506 PHOENIX, AZ 85006 (602) 253-6623 |
| 1730161043 | PAUL HAY PA Individual | Physician Assistant | 1300 N 12TH ST PHOENIX, AZ 85006 (602) 839-6968 |
| 1447222328 | MRS. JACQUELINE LEA AGENBROAD NP Individual | Nurse Practitioner | 1300 N 12TH ST SUITE 407 PHOENIX, AZ 85006 (602) 239-6762 |
| 1154395531 | LORNA F HONAN MD Individual | Internal Medicine | 1300 N 12TH ST STE 518 PHOENIX, AZ 85006 (602) 257-9488 |
| 1891760062 | MINIMALLY INVASIVE SURGICAL CONSULTANTS PLC Organization | Surgery | 1300 N 12TH ST #616 PHOENIX, AZ 85006 (602) 257-0300 |
| 1518935592 | PAUL E STANDER M.D Individual | Internal Medicine | 1300 N 12TH ST SUITE 508 PHOENIX, AZ 85006 (602) 239-3927 |
| 1043288327 | BARBARA J RUNQUIST NP Individual | Nurse Practitioner | 1300 N 12TH ST SUITE 404 PHOENIX, AZ 85006 (602) 839-0265 |
| 1255300224 | NANCEE E VANDERPLUYM M.N.T. Individual | Dietitian, Registered | 1300 N 12TH ST SUITE 610 PHOENIX, AZ 85006 (602) 239-5000 |
| 1356319495 | MARY ELLEN DIRLAM M.D. Individual | Internal Medicine | 1300 N 12TH ST SUITE 508 PHOENIX, AZ 85006 (602) 495-4577 |
| 1922077742 | JEFFREY D WOLFREY M.D. Individual | Family Medicine | 1300 N 12TH ST PHOENIX, AZ 85006 (602) 239-4567 |
| 1669441408 | ROBYN L PROSSER R.D., C.D.E. Individual | Dietitian, Registered | 1300 N 12TH ST SUITE 610 PHOENIX, AZ 85006 (602) 239-5000 |
| 1982673711 | CHERYL J PAGEL M.D. Individual | Family Medicine | 1300 N 12TH ST PHOENIX, AZ 85006 (602) 239-4567 |
| 1164491510 | CHERYL R. BUYAMA M.D. Individual | Internal Medicine | 1300 N 12TH ST SUITE 508 PHOENIX, AZ 85006 (602) 839-3927 |
| 1659330769 | HARVEY HSU M.D. Individual | Internal Medicine | 1300 N 12TH ST SUITE 508 PHOENIX, AZ 85006 (602) 239-4161 |
| 1972562411 | MRS. PATTI LYNNE KILLINGSWORTH M.SC. Individual | Rehabilitation Practitioner | 1300 N 12TH ST PHOENIX, AZ 85006 (602) 239-5000 |
| 1083674154 | STEVEN R BROWN M.D. Individual | Family Medicine | 1300 N 12TH ST SUITE 605 PHOENIX, AZ 85006 (602) 239-4567 |
| 1346200219 | KRISTINA M COOPER PH.D. Individual | Psychologist (Clinical) | 1300 N 12TH ST SUITE 610 PHOENIX, AZ 85006 (602) 239-5000 |
| 1871553693 | MARK R STEPHAN M.D. Individual | Family Medicine | 1300 N 12TH ST SUITE 605 PHOENIX, AZ 85006 (602) 239-4567 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164459319, enumerated in the NPI registry as an "individual" on June 26, 2006
The provider is located at 1300 N 12th St Suite 605 Phoenix, Az 85006 and the phone number is (602) 839-2668
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. 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 June 26, 2006. 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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