DR. WILLIAM LEROY CLARK MD
NPI 1164984910
Anesthesiology in Greenville, SC
NPI Status: Active since April 02, 2019
Contact Information
7 INDEPENDENCE PT STE 300
GREENVILLE, SC
ZIP 29615
Phone: (864) 522-3700
Fax: (864) 522-3705
- Individual
- Male
- Years of Experience 7
- Anesthesiology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About WILLIAM CLARK
This page provides the complete NPI Profile along with additional information for William Clark, an anesthesiologist established in Greenville, South Carolina with a medical specialization in Anesthesiology and more than 7 years of experience. He graduated from University Of South Carolina School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1164984910 assigned on April 2019. The practitioner's primary taxonomy code is 207L00000X with license number 89569 (SC). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1164984910
- Provider Name
- DR. WILLIAM LEROY CLARK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615
- Location Phone
- (864) 522-3700
- Location Fax
- (864) 522-3705
- Mailing Address
- 300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
- Mailing Phone
- (864) 522-8603
- Medical School Name
- UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
- Graduation Year
- 2019
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-02-2019
- Last Update Date
- 06-29-2023
- Code Navigator
An anesthesiologist like William Clark manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Secondary Locations
- 340 W 10th St # 6200
Indianapolis, IN 46202
(317) 278-2689
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
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 89569
- License State
- SC
- Taxonomy Description
- 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.
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
William Clark is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
William Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7719211283
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230918003883
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. William Clark is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
PRISMA HEALTH RICHLAND HOSPITAL | 5 MEDICAL PARK COLUMBIA, SC 29203 | (803) 296-2548 | Acute Care Hospitals | |
PRISMA HEALTH GREER MEMORIAL HOSPITAL | 1413 JOHN B WHITE SR BLVD SUITE D SPARTANBURG, SC 29306 | (864) 848-8200 | Acute Care Hospitals | |
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | 701 GROVE ROAD GREENVILLE, SC 29605 | (864) 455-7000 | Acute Care Hospitals | |
PRISMA HEALTH PATEWOOD HOSPITAL | 175 PATEWOOD DRIVE GREENVILLE, SC 29615 | (864) 797-1000 | Acute Care Hospitals |
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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 | 9 | 8 | 4 | 9 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 12 | 4 | 18 | 8 | 8 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 2 + 4 + 1 + 8 + 8 + 8 + 9 + 2 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1164984910 is valid because the calculated check digit 0 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 |
---|---|---|---|
1003466012 | ASHLEY ANN ALGUIRE Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1023065331 | STEVEN D PAVEGLIO CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1023294543 | ASHLIE PRUETT CEIPS CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1043865272 | STEPHEN CHAS GOODWIN CAA Individual | Anesthesiologist Assistant | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1093240699 | CORI ELIZABETH GOLDEN LAMM CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1215522800 | RYAN CLIFTON CALP RN Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1235403205 | CHRISTINA MARIA BARTHELMES ARNP, CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1235550468 | MRS. BROOKE ANDERSON WILLIAMS C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1265948889 | MATTHEW CORY HUNTER Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1285688796 | KATHLEEN R BARRETT CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1386728921 | MRS. CANDICE S. HICKEY CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1407929771 | DEBRA KAY KIDD CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1497700082 | VIRGINIA S CABLE CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1508003427 | ADAM TONY MCKEE CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (834) 522-3700 |
1508865734 | MISS AMY BAKER CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1528021136 | LORRAINE HANNAH JONES CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1548528201 | JESSE THOMAS SMITH C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1568480291 | MR. JAMES ALLAN BELLING CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1598933285 | LYDIA E GILLESPIE CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
1609222553 | PATRICIA DAWN HONAKER CRNA Individual | Nurse Anesthetist, Certified Registered | 7 INDEPENDENCE PT STE 300 GREENVILLE, SC 29615 (864) 522-3700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164984910, enumerated in the NPI registry as an "individual" on April 02, 2019
The provider is located at 7 Independence Pt Ste 300 Greenville, Sc 29615 and the phone number is (864) 522-3700
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
The provider has more than 7 years of experience. He graduated from University Of South Carolina School Of Medicine in 2019.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The practitioner is affiliated to the following hospital(s): PRISMA HEALTH RICHLAND HOSPITAL, PRISMA HEALTH GREER MEMORIAL HOSPITAL, PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL and PRISMA HEALTH PATEWOOD HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 02, 2019. 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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