W PEARSON CLACK M.D – NPI #1669471744
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

W CLACK is a pathologist located in SARASOTA, FL. NPPES has assigned the NPI number 1669471744 to W CLACK on July 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name WILLIAM CLACK. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 16 years ago on Feb 04, 2010. 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 W CLACK below.

NPI Profile for
WILLIAM P. CLACK

NPI Number
1669471744
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIAM P. CLACK
Professional Name: W PEARSON CLACK
Credentials
M.D
Primary location
2001 WEBBER ST
SARASOTA, FL 34239-5288
Phone: (941) 362-8900 Fax: (941) 362-8987
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for W CLACK

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
MEDICAIDFL372519700
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
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
FL ME15752
207ZF0201X
- Pathology / Forensic Pathology
FL ME15752

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.