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FREDERICK CLARK
NPI 1619659430
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since August 01, 2023PECOS Enrolled
433 BOLIVAR ST, NEW ORLEANS, LA 70112(504) 568-4808 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK CLARK (NPI 1619659430) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619659430
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFREDERICK CLARK
Location Address433 BOLIVAR STNew Orleans, LA 70112-7021
Mailing Address433 Bolivar StNew Orleans, LA 70112-7021
Phone(504) 568-4808
Sole ProprietorNo
Enumeration DateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1619659430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An 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.
433 BOLIVAR ST, New Orleans, LA 70112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederick Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY LYNN WALDROP PA
Physician Assistant
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (985) 722-8437
DR. ADAM WEEKLEY MD
Student in an Organized Health Care Education/Training Program
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4808
NOAH GOLDBERG
Dentist
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4808
KYLE CRAWFORD MD
Student in an Organized Health Care Education/Training Program
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4808
BROOKE JUNEAU RN
Registered Nurse
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4806
DR. TANIA ZORUB M.D.
Emergency Medicine
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-8655
DR. SAMUEL DAVIS CLOYD MD
Student in an Organized Health Care Education/Training Program
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (225) 757-4160
DR. DAVID LANSON MD
Family Medicine
433 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Clark's NPI number?

The NPI number for Frederick Clark is 1619659430. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Frederick Clark located?

Frederick Clark practices at 433 Bolivar St, New Orleans, LA 70112. The listed phone number is (504) 568-4808.

What is Frederick Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Frederick Clark enrolled in Medicare?

Yes. Frederick Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Clark was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.