GINA CLARK DO – NPI #1790065399
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Health Care Provider Taxonomy Code for Family Medicine

GINA CLARK is a physician located in STIGLER, OK. NPPES has assigned the NPI number 1790065399 to GINA CLARK on August 26, 2011. 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 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 8 years ago on Nov 01, 2018. 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 GINA CLARK below.

NPI Profile for
GINA CLARK

NPI Number
1790065399
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GINA CLARK
Credentials
DO
Primary location
1505 E MAIN ST
STIGLER, OK 74462-2913
Phone: (918) 967-3368 Fax: (918) 967-4582
Mailing address
PO BOX 179
STIGLER, OK 74462-0179
Phone: (918) 967-3368 Fax: (918) 967-4582
Sole Proprietor
No
Updated
Taxonomy Code(s)

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
207QS0010X
- Family Medicine / Sports Medicine (Primary)		 OK 5482
207Q00000X
- Family Medicine		 NC 172613

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

Education
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GINA CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • EASTERN OKLAHOMA MEDICAL CENTER
      105 WALL STREET
      POTEAU, OK 74953
    • HASKELL REGIONAL HOSPITAL, INC
      401 NORTHWEST H STREET
      STIGLER, OK 74462
    • MERCY HOSPITAL FORT SMITH
      7301 ROGERS AVE
      FORT SMITH, AR 72903
    • SAINT FRANCIS HOSPITAL MUSKOGEE
      300 ROCKEFELLER DRIVE
      MUSKOGEE, OK 74401
    • SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT
      213 EAST REDWOOD
      SALLISAW, OK 74955
  • HOME HEALTH AGENCY
    • AHNI HEALTH SERVICES, INC
      119 SOUTHWEST MAIN
      KEOTA, OK 74941
    • COMPASSION HOME CARE, INC
      901 EAST MAIN STREET, SUITE D
      STIGLER, OK 74462
    • HEALTHBACK HOME HEALTH OF STIGLER
      401 W. MAIN STREET
      STIGLER, OK 74462
    • OLDHAM HOME CARE LLC
      519 EAST MAIN STREET
      STIGLER, OK 74462
    • PROFESSIONAL HOME HEALTH
      507 E. REDWOOD AVENUE
      SALLISAW, OK 74955

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