J.DOUGLAS CLARK, MD PC – NPI #1730229808
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.

Health Care Provider Taxonomy Code for Internal Medicine

J.DOUGLAS CLARK, MD PC is a provider located in SPARTANBURG, SC. NPPES has assigned the NPI number 1730229808 to J.DOUGLAS CLARK, MD PC on February 07, 2007. 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 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 11, 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 J.DOUGLAS CLARK, MD PC below.

NPI Profile for
J.DOUGLAS CLARK, MD PC

NPI Number
1730229808
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
J.DOUGLAS CLARK, MD PC
Primary location
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303-2796
Phone: (864) 582-6858 Fax: (864) 585-0999
Mailing address
PO BOX 4276
SPARTANBURG, SC 29305-4276
Phone: (864) 582-6858 Fax: (864) 585-0999
Organization Subpart
No
Authorized Official
DARLA BROWN
OFFICE MANAGER
Phone: (864) 582-6858
Updated
Identifiers

Identifiers for J.DOUGLAS CLARK, MD PC

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
OTHERMBPG'SSC8688
OTHERRAILROADSC290009501
MEDICAIDSCT3660
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)		 SC 19596
207RS0012X
- Internal Medicine / Sleep Medicine		 SC 19596
207RP1001X
- Internal Medicine / Pulmonary Disease		 SC 19596
207R00000X
- Internal Medicine		 SC 19596

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.