JAY CLARK MD NPI 1508486077

Student in an Organized Health Care Education/Training Program in Roanoke, VA

Individual Male Student in an Organized Health Care Educ... PECOS Enrolled

About JAY CLARK MD

Jay Clark is a primary care provider established in Roanoke, Virginia and his medical specialization is Student In An Organized Health Care Education/training Program. The NPI number of Jay Clark is 1508486077 and was assigned on April 2020. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

A primary care provider (PCP) like Jay Clark Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1508486077

Provider Name JAY CLARK MD
Provider Location Address1906 BELLEVIEW AVE SE ROANOKE, VA 24014
Provider Mailing AddressPO BOX 4785 ROANOKE, VA 24015
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date04-24-2020
Last Update Date04-24-2020



Jay Clark is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Jay Clark is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code390200000X
ClassificationStudent in an Organized Health Care Education/Training Program
TypeStudent, Health Care
Taxonomy DescriptionAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Business Address

JAY CLARK MD
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7000

Get Directions


Mailing Address

JAY CLARK MD
PO BOX 4785
ROANOKE, VA
ZIP 24015
Phone: (218) 280-3338


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.
1508486077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25088812014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 8 + 8 + 1 + 2 + 0 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1508486077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1184623142DR. BRIAN KEITH NEWMAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7273
1437158474DR. WILLIAM GRIFFIN PRICE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7273
1750380879DOMINION PATHOLOGY ASSOCIATES PC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1906 BELLEVIEW AVE SE CARILION ROANOKE MEMORIAL HOSPITAL
ROANOKE, VA 24014
(540) 981-7271
1598751109 SARA L NICELY PA-C
Individual
Physician Assistant (Medical)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1457349243 GARY D HAHN CRNA
Individual
Nurse Anesthetist, Certified Registered1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1336139310MR. MOHAMMAD NASEEM MD
Individual
Radiology (Diagnostic Radiology)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1861483174 WILLIAM H CRAGUN MD
Individual
Internal Medicine (Pulmonary Disease)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1477544799 RICHARD BUTLER D.O.
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1447232087 GRACE ANN DZIDO M.D.
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8574
1659353209 JAMES B FRANKO M.D.
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8574
1780660241 CAROL M GILBERT M.D.
Individual
Surgery1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1942286927 STEVEN E SOMMER M.D.
Individual
Internal Medicine (Critical Care Medicine)1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-8574
1073583225 ROBERT A FRANKLIN PA
Individual
Physician Assistant1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1255304150DR. SHELBY C DICKERSON MD
Individual
Internal Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7618
1013981810 KIRSHAN K TAYAL MD
Individual
Surgery1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7544
1427027838DR. KERRY ALEXANDER POWELL M.D.
Individual
Emergency Medicine1906 BELLEVIEW AVE SE CRMH DEPARTMENT OF EMERGENCY MEDICINE
ROANOKE, VA 24014
(540) 853-0824
1629038443 ANDREW SLEMP MD
Individual
Surgery1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1093776643 JOHN R LUCAS JR. D.O.
Individual
Emergency Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1720041833 JOHN K EVETT M.D.
Individual
Emergency Medicine1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 981-7000
1366405128 JANE I. BELCHER CRNA
Individual
Nurse Anesthetist, Certified Registered1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
(540) 400-1982

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Jay Clark Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.