DR. CLYDE WHITLEY VICK III MD
NPI 1003976648
Radiology - Diagnostic Radiology in Jacksonville, FL

NPI Status: Active since December 12, 2006

Contact Information

1833 BOULEVARD
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 232-2751
Fax: (904) 232-2482

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  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology

About CLYDE VICK

This page provides the complete NPI Profile along with additional information for Clyde Vick, a provider established in Jacksonville, Florida with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1003976648 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 028094 (GA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1003976648
Provider Name
DR. CLYDE WHITLEY VICK III MD
Gender
Male
Entity Type
Individual
Location Address
1833 BOULEVARD JACKSONVILLE, FL 32206
Location Phone
(904) 232-2751
Location Fax
(904) 232-2482
Mailing Address
1833 BOULEVARD JACKSONVILLE, FL 32206
Mailing Phone
(904) 232-2751
Mailing Fax
(904) 232-2482
Is Sole Proprietor?
Yes
Enumeration Date
12-12-2006
Last Update Date
03-13-2012
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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
Allopathic & Osteopathic Physicians
License No.
028094
License State
GA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

028094 (GA)
22085N0700XAllopathic & Osteopathic Physicians

Radiology
Neuroradiology

028094 (GA)
32085N0904XAllopathic & Osteopathic Physicians

Radiology
Nuclear Radiology

028094 (GA)
42085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

028094 (GA)
52085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

028094 (GA)
62085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

028094 (GA)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003976648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 8 + 7 + 1 + 2 + 6 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1003976648.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1833 BOULEVARD, VA OUTPATIENT CLINIC
JACKSONVILLE, FL 32206
Internal Medicine (Cardiovascular Disease)
1833 BOULEVARD, VA OUTPATIENT CLINIC, CARDIOLOGY
JACKSONVILLE, FL 32206
Family Medicine
1833 BOULEVARD
JACKSONVILLE, FL 32206
Pharmacist
1833 BOULEVARD
JACKSONVILLE, FL 32206
Internal Medicine (Infectious Disease)
1833 BOULEVARD, SUITE 500
JACKSONVILLE, FL 32206
Physician Assistant
1833 BOULEVARD, METHODIST PROFESSIONAL BUILDING
JACKSONVILLE, FL 32206
Internal Medicine
1833 BOULEVARD
JACKSONVILLE, FL 32206
Psychiatry & Neurology (Psychiatry)
1833 BOULEVARD
JACKSONVILLE, FL 32206
Social Worker (Clinical)
1833 BOULEVARD
JACKSONVILLE, FL 32206
Psychiatry & Neurology (Psychiatry)
1833 BOULEVARD
JACKSONVILLE, FL 32206
Obstetrics & Gynecology
1833 BOULEVARD
JACKSONVILLE, FL 32206
Dietitian, Registered
1833 BOULEVARD
JACKSONVILLE, FL 32206
Internal Medicine (Geriatric Medicine)
1833 BOULEVARD
JACKSONVILLE, FL 32206
Dentist
1833 BOULEVARD
JACKSONVILLE, FL 32206
Pharmacist (Pharmacotherapy)
1833 BOULEVARD
JACKSONVILLE, FL 32206
Dentist (General Practice)
1833 BOULEVARD, VA OUTPATIENT CLINIC
JACKSONVILLE, FL 32206
Internal Medicine
1833 BOULEVARD, VETERANS AFFAIRS MEDICAL CLINIC
JACKSONVILLE, FL 32206
Dietitian, Registered
1833 BOULEVARD
JACKSONVILLE, FL 32206
Pharmacist
1833 BOULEVARD
JACKSONVILLE, FL 32206
Dentist (General Practice)
1833 BOULEVARD, VA OUT PATIENT CLINIC ,DENTAL DEPT
JACKSONVILLE, FL 32206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003976648, enumerated as an "individual" on December 12, 2006.

The provider is located at 1833 BOULEVARD JACKSONVILLE, FL 32206 and the phone number is (904) 232-2751.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.