CAMDEN-CLARK PHYSICIAN CORPORATION
NPI 1295392140
Emergency Medicine in Parkersburg, WV

NPI Status: Active since May 28, 2019

Contact Information

4 ROSEMAR CIR
PARKERSBURG, WV
ZIP 26104
Phone: (304) 865-5544
Fax: (304) 865-5545

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  • Organization
  • Emergency Medicine
  • CLIA Number: 36D2336574
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-06-2028

About CAMDEN-CLARK PHYSICIAN CORPORATION

This page provides the complete NPI Profile along with additional information for Camden-clark Physician Corporation, a provider established in Parkersburg, West Virginia operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1295392140 assigned on May 2019. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Camden-clark Physician Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kyle Pierson (Cfo/authorized Official)

NPI
1295392140
Provider Name
CAMDEN-CLARK PHYSICIAN CORPORATION
Entity Type
Organization
Location Address
4 ROSEMAR CIR PARKERSBURG, WV 26104
Location Phone
(304) 865-5544
Location Fax
(304) 865-5545
Mailing Address
PO BOX 843 MORGANTOWN, WV 26507
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2019
Last Update Date
06-24-2025
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Location Map

Secondary Locations

  • 26 Acme St
    Marietta, OH 45750
    (740) 374-4540

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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE PIERSON

Authorized Official Title
CFO/AUTHORIZED OFFICIAL
Authorized Official Phone
(304) 424-2111

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2336574
Facility Type
Physician Office
Certificate Effective Date
January 07, 2026
Certificate Expiration Date
January 06, 2028
Laboratory Director
MS. STACEY BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Camden-clark Physician Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1295392140, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 6 + 9 + 4 + 1 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1295392140.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
4 ROSEMAR CIR
PARKERSBURG, WV 26104
Family Medicine
4 ROSEMAR CIR
PARKERSBURG, WV 26104
Family Medicine
4 ROSEMAR CIR
PARKERSBURG, WV 26104
Nurse Practitioner (Primary Care)
4 ROSEMAR CIR
PARKERSBURG, WV 26104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295392140, enumerated as an "organization" on May 28, 2019.

The provider is located at 4 ROSEMAR CIR PARKERSBURG, WV 26104 and the phone number is (304) 865-5544.

Emergency Medicine with taxonomy code 207P00000X.