CLARK PHYSICIAN GROUP LLC – NPI #1396901104
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
CLARK PHYSICIAN GROUP LLC is a provider located in JEFFERSONVILLE, IN. NPPES has assigned the NPI number 1396901104 to CLARK PHYSICIAN GROUP LLC on July 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 13 years ago on Mar 25, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARK PHYSICIAN GROUP LLC below.
NPI Profile for
CLARK PHYSICIAN GROUP LLC
(about 18 years ago)
JEFFERSONVILLE, IN 47130-6016 Phone: (812) 285-5983 Fax: (812) 280-5723
CFO
Phone: (812) 283-2488
Identifiers for CLARK PHYSICIAN GROUP LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IN | 100074370 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
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| 363LW0102X - Nurse Practitioner / Women's Health |
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| 363LP0200X - Nurse Practitioner / Pediatrics |
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| 363LA2200X - Nurse Practitioner / Adult Health |
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| 363A00000X - Physician Assistant |
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| 208000000X - Pediatrics |
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| 207X00000X - Orthopaedic Surgery |
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| 207VG0400X - Obstetrics & Gynecology / Gynecology |
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| 207V00000X - Obstetrics & Gynecology |
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| 207RC0000X - Internal Medicine / Cardiovascular Disease |
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| 207R00000X - Internal Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.