DR. CHARLES MALCOLM CLARK JR. MD
NPI 1124301106
Internal Medicine - Endocrinology, Diabetes & Metabolism in Indianapolis, IN

NPI Status: Active since September 26, 2011

Contact Information

2802 LAFAYETTE ROAD SUITE 13
EAGLEDALE HEALTH CENTER
INDIANAPOLIS, IN
ZIP 46222
Phone: (317) 923-7510
Fax: (317) 923-7518

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  • Individual
  • Male
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About CHARLES CLARK

This page provides the complete NPI Profile along with additional information for Charles Clark, an internist established in Indianapolis, Indiana with a medical specialization in Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1124301106 assigned on September 2011. The practitioner's primary taxonomy code is 207RE0101X with license number 01020086A (IN). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1124301106
Provider Name
DR. CHARLES MALCOLM CLARK JR. MD
Gender
Male
Entity Type
Individual
Location Address
2802 LAFAYETTE ROAD SUITE 13 EAGLEDALE HEALTH CENTER INDIANAPOLIS, IN 46222
Location Phone
(317) 923-7510
Location Fax
(317) 923-7518
Mailing Address
2802 LAFAYETTE ROAD SUITE 13 EAGLEDALE HEALTH CENTER INDIANAPOLIS, IN 46222
Mailing Phone
(317) 923-7510
Mailing Fax
(317) 923-7518
Is Sole Proprietor?
Yes
Enumeration Date
09-26-2011
Last Update Date
09-26-2011
Code Navigator

An internist like Charles Clark is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
01020086A
License State
IN
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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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 1124301106, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 2 → 4 3 → 6 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 6 + 0 + 2 + 1 + 0 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1124301106.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124301106, enumerated as an "individual" on September 26, 2011.

The provider is located at 2802 LAFAYETTE ROAD SUITE 13 EAGLEDALE HEALTH CENTER INDIANAPOLIS, IN 46222 and the phone number is (317) 923-7510.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.