CAROLYN C. CLARK MD – NPI #1336536036
Radiology

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

Health Care Provider Taxonomy Code for Radiology

CAROLYN CLARK is a radiologist located in KAILUA, HI. NPPES has assigned the NPI number 1336536036 to CAROLYN CLARK on April 20, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name CAROLYN CHEN. 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 Apr 12, 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 CAROLYN CLARK below.

NPI Profile for
CAROLYN C. CLARK

NPI Number
1336536036
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CAROLYN C. CLARK
Former Name: CAROLYN CHEN
Credentials
MD
Primary location
640 ULUKAHIKI ST
KAILUA, HI 96734-4454
Phone: (503) 251-6855 Fax:
Mailing address
PO BOX 16961
PORTLAND, OR 97292-0961
Phone: (503) 251-6855 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 04, 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)		 HI 21521

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 WASHINGTON SCHOOL OF MEDICINE - Graduated 2015
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
CAROLYN CLARK is affiliated with the following medical group(s):
  • HOSPITAL
    • PALI MOMI MEDICAL CENTER
      98-1079 MOANALUA ROAD
      AIEA, HI 96701
    • VIRGINIA MASON MEDICAL CENTER
      925 SENECA ST
      SEATTLE, WA 98101

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.