CLARK B. DIFFENDAFFER MD – NPI #1174612337
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

CLARK DIFFENDAFFER is a radiologist located in LINCOLN, NE. NPPES has assigned the NPI number 1174612337 to CLARK DIFFENDAFFER on October 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jan 28, 2022. 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 CLARK DIFFENDAFFER below.

NPI Profile for
CLARK B. DIFFENDAFFER

NPI Number
1174612337
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLARK B. DIFFENDAFFER
Credentials
MD
Primary location
7601 PIONEERS BLVD
LINCOLN, NE 68506-4675
Phone: (402) 484-6677 Fax:
1 Other location(s):
601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 200-2355
Mailing address
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone: (407) 200-2355 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 28, 2022

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.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 NE 24399

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
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE - Graduated 2004
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
CLARK DIFFENDAFFER is affiliated with the following medical group(s):
  • HOSPITAL
    • COMMUNITY MEDICAL CENTER, INC.
      P O BOX 399, 3307 BARADA ST
      FALLS CITY, NE 68355
    • JEFFERSON COMMUNITY HEALTH & LIFE
      P O BOX 277, 2200 H ST
      FAIRBURY, NE 68352
    • LEXINGTON REGIONAL HEALTH CENTER
      P O BOX 980, 1201 NORTH ERIE ST
      LEXINGTON, NE 68850
    • PHELPS MEMORIAL HEALTH CENTER
      1215 TIBBALS ST
      HOLDREGE, NE 68949
    • YORK GENERAL HOSPITAL
      2222 N LINCOLN AVE
      YORK, NE 68467

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