ELWYN C. CLARK DO – NPI #1083875900
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

ELWYN CLARK is a physician located in NEWBURGH, NY. NPPES has assigned the NPI number 1083875900 to ELWYN CLARK on June 23, 2008. 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 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 14 years ago on Jun 19, 2012. 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 ELWYN CLARK below.

NPI Profile for
ELWYN C. CLARK

NPI Number
1083875900
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ELWYN C. CLARK
Credentials
DO
Primary location
70 DUBOIS ST
NEWBURGH, NY 12550-4851
Phone: (845) 561-4400 Fax:
Mailing address
206 MONTGOMERY ST
NEWBURGH, NY 12550-3639
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for ELWYN 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.

DescriptionIssuerStateIdentifier
OTHERLICENSENY247501
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
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
NY 247501-1
207P00000X
- Emergency Medicine
NY 247501

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

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
ELWYN CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • ERLANGER MEDICAL CENTER
      975 E 3RD ST
      CHATTANOOGA, TN 37403

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