JOHN SAMUEL CLARKE M.D.
NPI 1003811928
Surgery in Tyler,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 16, 2005

Contact Information

Po Box 10090
Tyler,
Post Code: 75711
Phone: (903) 825-1981
Fax: (903) 825-3375

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John Samuel Clarke M.d. in Tyler - Surgery

John Samuel Clarke M.d. is a Surgery in Tyler, . John Samuel Clarke M.d. practices all healthcare services and medical treatments related to Surgery. The NPI Number for John Samuel Clarke M.d. is 1003811928. The last update date is 2008-08-12.

John Samuel Clarke M.d.'s current location address is Po Box 10090, Tyler, . You can contact this provider via phone number (903) 825-1981 and fax number (903) 825-3375. The mailing address for John Samuel Clarke M.d. is Po Box 10090, Tyler, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003811928
Provider Name
JOHN SAMUEL CLARKE M.D.
Gender
Male
Entity Type
Individual
Location Address
Po Box 10090, Tyler,
Location Phone
(903) 825-1981
Location Fax
(903) 825-3375
Mailing Address
119 Lake Bluff Dr, Bullard, Texas(TX)
Mailing Phone
903-825-1981
Mailing Fax
903-825-3375
Enumeration Date
2005-06-16
Last Update Date
2008-08-12
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
-
License No.
G9082
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208600000X Surgery Physician

Surgery

G9082 (Texas)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110348302 MEDICAID (05) Texas (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003811928
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003161294
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2003161294
2 + 0 + 0 + 3 + 1 + 6 + 1 + 2 + 9 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1003811928 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003811852 TOTAL PAIN MEDICINE & ANESTHESIOLOGY PA
Organization
Anesthesiology, Pain Medicine PO BOX 780
COLLEYVILLE, Texas (TX)
817-868-1109
1003811639 HEALTHTEXAS PROVIDER NETWORK
Organization
Family Medicine 5575 WARREN PKWY
FRISCO, Texas (TX)
972-712-3652
1003811597 SANDRA LYNN CONNOR
Individual
Nurse Practitioner, Family 1635 W DIVISION ST
ARLINGTON, Texas (TX)
817-274-0097
1003811530 KEVIN S. JONES, INC.
ALL AMERICAN MEDICAL EQUIPMENT & SUPPLIES
Organization
Durable Medical Equipment & Medical Supplies, Customized Equipment 2704 SW 44TH ST
OKLAHOMA CITY, Oklahoma (OK)
405-682-2222
1003811514 MICHAEL ANTHONY EARLE
Individual
Orthopaedic Surgery 8711 VILLAGE DR
SAN ANTONIO, Texas (TX)
210-656-6721