DR. JOHN E CLARK
NPI 1881736593
Specialist in Baton Rouge, LA
NPI Status: Active since February 12, 2007
Contact Information
4545 BLUEBONNET BLVD
BATON ROUGE, LA
ZIP 70809
Phone: (225) 766-2311
Fax: (225) 767-7134
- Individual
- Male
- Specialist
- Opted-Out Medicare
About JOHN CLARK
This page provides the complete NPI Profile along with additional information for John Clark, a provider established in Baton Rouge, Louisiana with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1881736593 assigned on February 2007. The practitioner's primary taxonomy code is 174400000X with license number 08015R (LA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1881736593
- Provider Name
- DR. JOHN E CLARK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809
- Location Phone
- (225) 766-2311
- Location Fax
- (225) 767-7134
- Mailing Address
- PO BOX 84358 BATON ROUGE, LA 70884
- Mailing Phone
- (225) 766-2311
- Mailing Fax
- (225) 767-7134
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-12-2007
- Last Update Date
- 05-18-2009
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. John Clark opted out of Medicare effective on 01-01-2018 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 08015R
- License State
- LA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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 |
|---|---|---|---|
| 250002036 | MEDICARE PIN (08) | LA | |
| D83723 | MEDICARE UPIN (02) | LA | |
| 1388483 | MEDICAID (05) | LA | |
| 55872 | MEDICARE PIN (08) | LA |
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2018
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for DR. JOHN E CLARK
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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 | 8 | 1 | 7 | 3 | 6 | 5 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 14 | 3 | 12 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 4 + 3 + 1 + 2 + 5 + 1 + 8 + 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 1881736593 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 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740349505 | MR. CHRISTOPHER WILLIAM ARMSTRONG MPAS, PA-C Individual | Physician Assistant | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 766-2311 |
| 1730235458 | PAUL A LAMOTHE JR. P.T. Individual | Specialist | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 767-7110 |
| 1851433460 | DR. GRAY W. BARROW M.D. Individual | Physical Medicine & Rehabilitation | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 766-2311 |
| 1972639607 | DUSTI L CLOUATRE P.T. Individual | Specialist | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 767-7110 |
| 1811166150 | JOHN E. CLARK,M.D., LTD Organization | Physical Medicine & Rehabilitation | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 766-2311 |
| 1801021811 | GRAY W. BARROW, M.D., LTD. Organization | Specialist/Technologist | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 768-8572 |
| 1184948960 | RANI G WHITFIELD MD APMC Organization | Specialist | 4545 BLUEBONNET BLVD SUITE B BATON ROUGE, LA 70809 (225) 924-1241 |
| 1093061145 | NORTHEAST OUTPATIENT RADIOLOGY SERVICES Organization | Clinic/Center (Radiology) | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (561) 630-6277 |
| 1912491788 | MRS. SHAOQING GUO Individual | Acupuncturist | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 766-2311 |
| 1639347941 | WALTER WRIGHT ELLIS, LLC Organization | Physical Medicine & Rehabilitation | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 766-2311 |
| 1477689123 | JEC CONSULTANTS, LLC. Organization | Specialist | 4545 BLUEBONNET BLVD BATON ROUGE, LA 70809 (225) 767-7110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881736593, enumerated in the NPI registry as an "individual" on February 12, 2007
The provider is located at 4545 Bluebonnet Blvd Baton Rouge, La 70809 and the phone number is (225) 766-2311
The provider's speciality is Specialist with taxonomy code 174400000X
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.
No, the provider signed an affidavit on January 01, 2018 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on February 12, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.