NANCY S. CLARK M.D. – NPI #1114986023
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
NANCY CLARK is a surgeon located in LOUISVILLE, KY. NPPES has assigned the NPI number 1114986023 to NANCY CLARK on March 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
The NPI profile was previously updated about 5 years ago on Jan 25, 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 NANCY CLARK below.
NPI Profile for
NANCY S. CLARK
(more than 20 years ago)
LOUISVILLE, KY 40202 Phone: (502) 583-8303 Fax:
LOUISVILLE, KY 40201-0909 Phone: (502) 588-0325 Fax:
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 NANCY 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BLUE DC | DC | 88260001 |
| OTHER | BLUE MD | MD | 95QW |
| MEDICAID | KY | 7100468230 | |
| MEDICAID | MD | 413914300 |
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 |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
KY | 50539 |
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
NANCY CLARK is affiliated with the following medical group(s):
- HOSPITAL
- JEWISH HOSPITAL & ST MARY'S HEALTHCARE200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202 - NORTON HOSPITALS, INC200 EAST CHESTNUT STREET
LOUISVILLE, KY 40202
- JEWISH HOSPITAL & ST MARY'S HEALTHCARE200 ABRAHAM FLEXNER WAY
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