RODERICK V. CLARK M.D. – NPI #1225066939
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

RODERICK CLARK is a physician located in LAFAYETTE, LA. NPPES has assigned the NPI number 1225066939 to RODERICK CLARK on June 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 19 years ago on Sep 11, 2007. 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 RODERICK CLARK below.

NPI Profile for
RODERICK V. CLARK

NPI Number
1225066939
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RODERICK V. CLARK
Credentials
M.D.
Primary location
2804 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone: (337) 981-5156 Fax: (337) 981-0673
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for RODERICK 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
MEDICAIDLA1379875
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
207RN0300X
- Internal Medicine / Nephrology (Primary)		 LA 019518

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
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS - Graduated 1987
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
RODERICK CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • ABBEVILLE GENERAL HOSPITAL
      118 N HOSPITAL DR
      ABBEVILLE, LA 70510
    • ACADIA GENERAL HOSPITAL
      1305 CROWLEY RAYNE HIGHWAY
      CROWLEY, LA 70526
    • OCHSNER LAFAYETTE GENERAL MEDICAL CENTER
      1214 COOLIDGE AVENUE
      LAFAYETTE, LA 70503
    • OCHSNER ST MARTIN HOSPITAL
      210 CHAMPAGNE BOULEVARD
      BREAUX BRIDGE, LA 70517
    • OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
      4801 AMBASSADOR CAFFERY PARKWAY
      LAFAYETTE, LA 70508
  • DIALYSIS FACILITY
    • FMCNA - BREAUX BRIDGE
      100 CHAMPAGNE BLVD BLDG A
      BREAUX BRIDGE, LA 70517
    • FMCNA - WEST LAFAYETTE
      2804 AMBASSADOR CAFFERY PKWY
      LAFAYETTE, LA 70506
    • FRESENIUS MEDICAL CARE BROUSSARD LLC
      138 Youngsville Hwy
      Lafayette, LA 70508

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