DR. SHEALAGH LEIGH CLARK DO
NPI 1821793183
Student in an Organized Health Care Education/Training Program in Hartford, CT
NPI Status: Active since April 04, 2023
Contact Information
114 WOODLAND STREET
DEPARTMENT OF OB-GYN
HARTFORD, CT
ZIP 06105
Phone: (860) 714-5170
Fax: (860) 714-8008
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About SHEALAGH CLARK
This page provides the complete NPI Profile along with additional information for Shealagh Clark, a primary care provider established in Hartford, Connecticut with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1821793183 assigned on April 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1821793183
- Provider Name
- DR. SHEALAGH LEIGH CLARK DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 114 WOODLAND STREET DEPARTMENT OF OB-GYN HARTFORD, CT 06105
- Location Phone
- (860) 714-5170
- Location Fax
- (860) 714-8008
- Mailing Address
- 31 ARNOLD WAY WEST HARTFORD, CT 06119
- Mailing Phone
- (860) 539-3080
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-04-2023
- Last Update Date
- 04-04-2023
- Code Navigator
A primary care provider (PCP) like Shealagh Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Shealagh 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
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
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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 | 8 | 2 | 1 | 7 | 9 | 3 | 1 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 14 | 9 | 6 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 4 + 9 + 6 + 1 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1821793183 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205813102 | DR. HOWARD AVORY GRAYSON JR. MD Individual | Internal Medicine | 114 WOODLAND STREET DEPT OF MEDICINE HARTFORD, CT 06105 (860) 714-7446 |
| 1114986171 | PAMELA D H KOWALCZYK MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 114 WOODLAND STREET DEPARTMENT OF PATHOLOGY HARTFORD, CT 06105 (860) 714-4280 |
| 1376637009 | ANN O'BRIEN NELSON APRN-FNP Individual | Nurse Practitioner (Family) | 114 WOODLAND STREET HARTFORD, CT 06105 (860) 714-4801 |
| 1821221078 | MRS. SELWENA ROBERTA BREWSTER MD Individual | Emergency Medicine | 114 WOODLAND STREET HARTFORD, CT 06105 (860) 331-1911 |
| 1033464771 | BRIAN MOREY PA-C Individual | Physician Assistant (Surgical) | 114 WOODLAND STREET DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-7446 |
| 1306190723 | LINDSAY DEGRASSE Individual | Nurse Anesthetist, Certified Registered | 114 WOODLAND STREET HARTFORD, CT 06105 (860) 714-6654 |
| 1659349371 | DR. JOHN VACKINER SCHOLES MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 114 WOODLAND STREET ST FRANCIS HOSPITAL DEPARTMENT OF PATHOLOGY HARTFORD, CT 06105 (860) 714-4280 |
| 1932224607 | STEPHANIE C MONTGOMERY MD Individual | Surgery (Surgical Critical Care) | 114 WOODLAND STREET ST. FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD, CT 06105 (860) 714-5237 |
| 1972950079 | DR. ASSUMPTA GRACE TWEKISE MD Individual | Student in an Organized Health Care Education/Training Program | 114 WOODLAND STREET HARTFORD, CT 06105 (860) 714-8008 |
| 1750764379 | DR. VARUN JAIN M.D. Individual | Internal Medicine | 114 WOODLAND STREET HARTFORD, CT 06105 (860) 714-7446 |
| 1184060741 | DR. NEIL YOUNG M.D. Individual | Emergency Medicine | 114 WOODLAND STREET EMERGENCY DEPARTMENT HARTFORD, CT 06105 (860) 714-4001 |
| 1497026066 | BERESHITH NOAH ADAMS APRN Individual | Nurse Practitioner | 114 WOODLAND STREET DEPT OF SURGERY HARTFORD, CT 06105 (860) 714-4694 |
| 1255373528 | KAVEH BARAMI MD Individual | Neurological Surgery | 114 WOODLAND STREET HARTFORD, CT 06105 (904) 588-2596 |
| 1720309206 | VERONICA MARIA PIMENTEL MD Individual | Obstetrics & Gynecology | 114 WOODLAND STREET MATERNAL/FETAL MEDICINE HARTFORD, CT 06105 (860) 714-4378 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821793183, enumerated in the NPI registry as an "individual" on April 04, 2023
The provider is located at 114 Woodland Street Department Of Ob-gyn Hartford, Ct 06105 and the phone number is (860) 714-5170
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
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.
This NPI record was last updated on April 04, 2023. 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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