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

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  • 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 17 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
R98138MEDICARE UPIN (02) 
54822P020MEDICARE ID-TYPE UNSPECIFIED (04)AR 

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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 1649236472, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 4 → 8 2 → 4 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 4 + 3 + 1 + 2 + 4 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1649236472.

Other Providers at the Same Location


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

Psychiatry & Neurology (Neurology)
1609 W 40TH AVE, SUITE 401
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, STE 501
PINE BLUFF, AR 71603
Internal Medicine (Gastroenterology)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Clinic/Center (Ambulatory Surgical)
1609 W 40TH AVE, JRMC PROFESSIONAL CENTER, SUITE 103
PINE BLUFF, AR 71603
Clinic/Center (Medical Specialty)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Health Maintenance Organization
1609 W 40TH AVE, SUITE 207
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Clinic/Center (Medical Specialty)
1609 W 40TH AVE, SUITE 204
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Preferred Provider Organization
1609 W 40TH AVE, SUITE 201
PINE BLUFF, AR 71603
Clinic/Center (Endoscopy)
1609 W 40TH AVE, SUITE 312
PINE BLUFF, AR 71603
Surgery
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1609 W 40TH AVE, SUITE 403
PINE BLUFF, AR 71603
Orthopaedic Surgery
1609 W 40TH AVE, STE 501
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, SUITE 501
PINE BLUFF, AR 71603
Specialist
1609 W 40TH AVE, STE 403
PINE BLUFF, AR 71603
Urology
1609 W 40TH AVE, STE 301
PINE BLUFF, AR 71603
Urology
1609 W 40TH AVE, STE 301
PINE BLUFF, AR 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.