GARRY ANDREW CLARK D.O.
NPI 1952380750
Physical Medicine & Rehabilitation, Pain Medicine in Sioux City,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 11, 2006

Contact Information

3930 Stadium Dr
Sioux City,
Post Code: 51106
Phone: (712) 276-4325
Fax: (712) 276-6033

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Garry Andrew Clark D.o. in Sioux City - Physical Medicine & Rehabilitation, Pain Medicine

Garry Andrew Clark D.o. is a Physical Medicine & Rehabilitation, Pain Medicine in Sioux City, . Garry Andrew Clark D.o. practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation, Pain Medicine. The NPI Number for Garry Andrew Clark D.o. is 1952380750. The last update date is 2012-01-26.

Garry Andrew Clark D.o.'s current location address is 3930 Stadium Dr, Sioux City, . You can contact this provider via phone number (712) 276-4325 and fax number (712) 276-6033. The mailing address for Garry Andrew Clark D.o. is 3930 Stadium Dr, Sioux City, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1952380750
Provider Name
GARRY ANDREW CLARK D.O.
Gender
Male
Entity Type
Individual
Location Address
3930 Stadium Dr, Sioux City,
Location Phone
(712) 276-4325
Location Fax
(712) 276-6033
Mailing Address
3930 Stadium Dr, Sioux City, Iowa(IA)
Mailing Phone
712-276-4325
Mailing Fax
712-276-6033
Enumeration Date
2006-01-11
Last Update Date
2012-01-26
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

Physical Medicine & Rehabilitation, Pain Medicine

Taxonomy Code
2081P2900X
Type
-
License No.
01361
License State
Iowa (IA)
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
1528001492 Other (non-Medicare) (01) Iowa (IA) St Lukes Group NPI
21964 Other (non-Medicare) (01) Iowa (IA) St Lukes Group PTAN
21964001 Other (non-Medicare) (01) Iowa (IA) St Lukes Individual PTAN
080082594 Other (non-Medicare) (01) Iowa (IA) Medicare Railroad Individual Number
CG1061 Other (non-Medicare) (01) Iowa (IA) Medicare Railroad Group Number

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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.
1952380750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102680710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29102680710
2 + 9 + 1 + 0 + 2 + 6 + 8 + 0 + 7 + 1 + 0 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1952380750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

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Individual
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