MRS. DEBRA DOUBLET CLARK PA-C
NPI 1649236472
Physician Assistant in Pine Bluff, AR
NPI Status: Active since April 21, 2006
Contact Information
1609 W 40TH AVE
SUITE 501
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-3449
Fax: (870) 535-3973
- Individual
- Female
- Physician Assistant
About DEBRA CLARK
This page provides the complete NPI Profile along with additional information for Debra Clark, a primary care provider established in Pine Bluff, Arkansas with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1649236472 assigned on April 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA163 (AR). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1649236472
- Provider Name
- MRS. DEBRA DOUBLET CLARK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1609 W 40TH AVE SUITE 501 PINE BLUFF, AR 71603
- Location Phone
- (870) 534-3449
- Location Fax
- (870) 535-3973
- Mailing Address
- 1609 W 40TH AVE SUITE 501 PINE BLUFF, AR 71603
- Mailing Phone
- (870) 534-3449
- Mailing Fax
- (870) 535-3973
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2006
- Last Update Date
- 02-23-2009
- Code Navigator
A primary care provider (PCP) like Debra Clark 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 .
Location Map
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA163
- License State
- AR
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| R98138 | MEDICARE UPIN (02) | ||
| 54822P020 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
Reviews for MRS. DEBRA DOUBLET CLARK PA-C
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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. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 3 | 6 | 4 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 3 | 12 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 3 + 1 + 2 + 4 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1649236472 is valid because the calculated check digit 2 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.
DAVID J SILAS MD
Psychiatry & Neurology
(Neurology)
1609 W 40TH AVE
SUITE 401
PINE BLUFF, AR
ZIP 71603
DR. CHARLES A CLARK MD
Orthopaedic Surgery
1609 W 40TH AVE
STE 501
PINE BLUFF, AR
ZIP 71603
O T GORDON JR. M.D.
Internal Medicine
(Gastroenterology)
1609 W 40TH AVE
SUITE 312
PINE BLUFF, AR
ZIP 71603
VALERIE LYNNE BERRY M.D.
Specialist
1609 W 40TH AVE
SUITE 312
PINE BLUFF, AR
ZIP 71603
JEFFERSON SURGERY CENTER PLLC
Clinic/Center
(Ambulatory Surgical)
1609 W 40TH AVE
JRMC PROFESSIONAL CENTER, SUITE 103
PINE BLUFF, AR
ZIP 71603
GASTROENTEROLOGY ASSOCIATES OF SOUTHEAST ARKANSAS, P.A.
Clinic/Center
(Medical Specialty)
1609 W 40TH AVE
SUITE 312
PINE BLUFF, AR
ZIP 71603
JEFFERSON HOSPITAL ASSOCIATION, INC.
Health Maintenance Organization
1609 W 40TH AVE
SUITE 207
PINE BLUFF, AR
ZIP 71603
SOUTH ARKANSAS SURGICAL ASSOCIATES
Specialist
1609 W 40TH AVE
SUITE 403
PINE BLUFF, AR
ZIP 71603
CHARLES A. CLARK, MD, PA
Orthopaedic Surgery
1609 W 40TH AVE
SUITE 501
PINE BLUFF, AR
ZIP 71603
LISA A BEARDEN MD PA
Clinic/Center
(Medical Specialty)
1609 W 40TH AVE
SUITE 204
PINE BLUFF, AR
ZIP 71603
JEFFERSON HOSPITAL ASSOCIATION, INC.
Orthopaedic Surgery
1609 W 40TH AVE
SUITE 501
PINE BLUFF, AR
ZIP 71603
TORRANCE A WALKER MD PA
Preferred Provider Organization
1609 W 40TH AVE
SUITE 201
PINE BLUFF, AR
ZIP 71603
PINE BLUFF ENDOSCOPY CENTER, LLC
Clinic/Center
(Endoscopy)
1609 W 40TH AVE
SUITE 312
PINE BLUFF, AR
ZIP 71603
JEFFERSON HOSPITAL ASSN, INC.
Surgery
1609 W 40TH AVE
SUITE 403
PINE BLUFF, AR
ZIP 71603
JEFFERSON HOSPITAL ASSN, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1609 W 40TH AVE
SUITE 403
PINE BLUFF, AR
ZIP 71603
DR. JOHN ORA LYTLE M.D.
Orthopaedic Surgery
1609 W 40TH AVE
STE 501
PINE BLUFF, AR
ZIP 71603
P B SIMPSON JR. MD
Specialist
1609 W 40TH AVE
SUITE 501
PINE BLUFF, AR
ZIP 71603
LEE A FORESTIERE M. D.
Specialist
1609 W 40TH AVE
STE 403
PINE BLUFF, AR
ZIP 71603
DR. DENNIS W JACKS M.D.
Urology
1609 W 40TH AVE
STE 301
PINE BLUFF, AR
ZIP 71603
DR. DAVID A LUPO M.D.
Urology
1609 W 40TH AVE
STE 301
PINE BLUFF, AR
ZIP 71603
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649236472, enumerated as an "individual" on April 21, 2006.
The provider is located at 1609 W 40TH AVE SUITE 501 PINE BLUFF, AR 71603 and the phone number is (870) 534-3449.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
