TIMOTHY J CLARK MD
NPI 1225019862
Radiology, Diagnostic Radiology in Greenville,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 10, 2005

Contact Information

2101 W Arlington Blvd Ste 210
Greenville,
Post Code: 27834
Phone: (252) 752-5000
Fax: (252) 931-7694

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Timothy J Clark Md in Greenville - Radiology, Diagnostic Radiology

Timothy J Clark Md is a Radiology, Diagnostic Radiology in Greenville, . Timothy J Clark Md practices all healthcare services and medical treatments related to Radiology, Diagnostic Radiology. The NPI Number for Timothy J Clark Md is 1225019862. The last update date is 2016-09-01.

Timothy J Clark Md's current location address is 2101 W Arlington Blvd Ste 210, Greenville, . You can contact this provider via phone number (252) 752-5000 and fax number (252) 931-7694. The mailing address for Timothy J Clark Md is 2101 W Arlington Blvd Ste 210, Greenville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1225019862
Provider Name
TIMOTHY J CLARK MD
Gender
Male
Entity Type
Individual
Location Address
2101 W Arlington Blvd Ste 210, Greenville,
Location Phone
(252) 752-5000
Location Fax
(252) 931-7694
Mailing Address
Po Box 30750, Greenville, North Carolina(NC)
Mailing Phone
252-752-5000
Mailing Fax
252-931-7694
Enumeration Date
2005-11-10
Last Update Date
2016-09-01
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

Radiology, Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
-
License No.
0028742
License State
North Carolina (NC)
Taxonomy Description
-

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
22739 Other (non-Medicare) (01) North Carolina (NC) BLUE CROSS BLUE SHIELD NORTH CAROLING
8922739 MEDICAID (05) North Carolina (NC)

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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.
1225019862
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22450118812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22450118812
2 + 2 + 4 + 5 + 0 + 1 + 1 + 8 + 8 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1225019862 is valid because the calculated check digit 2 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
1114920162 JON DUBOSE
Individual
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TARBORO, North Carolina (NC)
252-641-7700
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1104829159 LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory 531 S SPRING ST
BURLINGTON, North Carolina (NC)
800-222-7566
1174526123 EDWARD WILLIAM HOEHN-SARIC
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD STE 7
PINEHURST, North Carolina (NC)
910-295-3344
1104829142 HENRY FRANKLIN TRIPP
Individual
Family Medicine, Geriatric Medicine 3734 REYNOLDA RD
WINSTON SALEM, North Carolina (NC)
336-664-0333