CLINTON S. PARK M.D. – NPI #1295932242
Radiology
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
CLINTON PARK is a radiologist located in FORT WORTH, TX. NPPES has assigned the NPI number 1295932242 to CLINTON PARK on July 02, 2007. 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 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology
The NPI profile was previously updated about 4 years ago on Dec 09, 2021. 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 CLINTON PARK below.
NPI Profile for
CLINTON S. PARK
(about 19 years ago)
FORT WORTH, TX 76104-2154 Phone: (817) 413-1500 Fax: (817) 413-1499
DALLAS, TX 75391-1230 Phone: (972) 997-8000 Fax: (972) 234-2987
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for CLINTON PARK
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUECROSS BLUESHIELD OF TEXAS | TX | 8CA240 |
| OTHER | RAILROAD MEDICARE | TX | P00764078 |
| MEDICAID | TX | 202476201 | |
| MEDICAID | TX | 202476202 |
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 |
|---|---|---|
| 2085R0001X - Radiology / Radiation Oncology (Primary) |
TX | N3228 |
| 2085R0203X - Radiology / Radiation Oncology |
TX | BP10022820 |
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
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
CLINTON PARK is affiliated with the following medical group(s):
- HOSPITAL
- TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH1301 PENNSYLVANIA AVENUE
FORT WORTH, TX 76104
- TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH1301 PENNSYLVANIA AVENUE
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