ELIZABETH C. CLARK D.O. – NPI #1922014182
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.
ELIZABETH CLARK is a physician located in WHITERIVER, AZ. NPPES has assigned the NPI number 1922014182 to ELIZABETH CLARK on July 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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.
The NPI profile was previously updated about 17 years ago on Dec 18, 2008. 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 ELIZABETH CLARK below.
NPI Profile for
ELIZABETH C. CLARK
(about 20 years ago)
WHITERIVER, AZ 85941 Phone: (928) 338-4911 Fax:
WHITERIVER, AZ 85941-0860 Phone: (928) 338-4911 Fax:
Identifiers for ELIZABETH CLARK
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.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AZ | 1295993376 | |
| MEDICAID | AZ | 1629236716 | |
| MEDICAID | AZ | 1871523191 | |
| MEDICAID | AZ | 409757 | |
| MEDICAID | AZ | 1780614008 |
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) |
WV | 1346 |
| 204D00000X - Neuromusculoskeletal Medicine & OMM |
WV | 1346 |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
ELIZABETH CLARK is affiliated with the following medical group(s):
- HOSPITAL
- WHITERIVER PHS INDIAN HOSPITAL200 WEST HOSPITAL DRIVE (PO BOX 860)
WHITERIVER, AZ 85941
- WHITERIVER PHS INDIAN HOSPITAL200 WEST HOSPITAL DRIVE (PO BOX 860)
Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.
Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.