DERREL W CLARKE MD NPI 1902812829

Pediatrics in Logan, UT

NPI 1902812829 Individual Male Pediatrics

About DERREL CLARKE

Derrel Clarke is a pediatrician established in Logan, Utah and his medical specialization is pediatrics. The NPI number of Derrel Clarke is 1902812829 and was assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 1863221205 (UT). The provider is registered as an individual and his NPI record was last updated 13 years ago.

A pediatrician like Derrel W Clarke Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Derrel Clarke 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.

NPI

1902812829

Provider Name DERREL W CLARKE MD
Provider Location Address1350 N 500 E LOGAN, UT 84341
Provider Mailing Address1350 N 500 E LOGAN, UT 84341
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-31-2006
Last Update Date10-14-2008


Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.1863221205
License StateUT
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

DERREL W CLARKE MD
1350 N 500 E
LOGAN, UT
ZIP 84341
Phone: (435) 792-1940
Fax: (435) 792-1692

Get Directions


Mailing Address

DERREL W CLARKE MD
1350 N 500 E
LOGAN, UT
ZIP 84341
Phone: (435) 792-1940
Fax: (435) 792-1692



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000064219MEDICARE PIN (08)UT

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1295707677 COREY WYN WALKER M.D.
Individual
Internal Medicine (Rheumatology)1350 N 500 E
LOGAN, UT 84341
(435) 792-1518
1144234659 NORDELL T BROWN MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1710991344 ALLAN DAVID ANDERSON MD
Individual
Surgery1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1699789222 TIMOTHY M ANDERSON MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1154335651 JAMES P BENEDICT MD
Individual
Obstetrics & Gynecology1350 N 500 E
LOGAN, UT 84341
(435) 792-1920
1437168721 PRAFULLA MARTIN-GARG MD, FAAP
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1639188956 SHERYL ROPER PNP
Individual
Nurse Practitioner1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1063422483 CYNTHIA C WHITE CD
Individual
Dietitian, Registered1350 N 500 E
LOGAN, UT 84341
(435) 792-1682
1760492219 JEFFREY M HUFFMAN MD
Individual
Internal Medicine1350 N 500 E
LOGAN, UT 84341
(435) 792-1980
1588674055 JEFFREY S KEYSER MD
Individual
Otolaryngology1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1033129523 ROBERT M NASH MD
Individual
Internal Medicine1350 N 500 E
LOGAN, UT 84341
(435) 792-1980
1477563864 JOHN DENNIS ODELL MD
Individual
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 792-1940
1689684094 MICHAEL J STONES MD
Individual
Internal Medicine1350 N 500 E
LOGAN, UT 84341
(435) 792-1980
1902816317 CHARLES T SWALLOW MD
Individual
Urology1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1942210364 BARTLEY M WEISS MD
Individual
Surgery1350 N 500 E
LOGAN, UT 84341
(435) 792-1950
1154331585 KIMBERLY D MCCULLOCH MD
Individual
Obstetrics & Gynecology1350 N 500 E
LOGAN, UT 84341
(435) 792-1920
1003826439 E BRETT HORSLEY DO
Individual
Obstetrics & Gynecology1350 N 500 E
LOGAN, UT 84341
(435) 792-1920
1407910938 JEFFREY WAYNE BENSON
Individual
Pharmacist1350 N 500 E
LOGAN, UT 84341
(435) 792-1521
1811038060DR. MICHAEL S CALLISTER M.D.
Individual
Urology1350 N 500 E
LOGAN, UT 84341
(435) 752-0422
1508994781IHC HEALTH SERVICES INC
Organization
Pediatrics1350 N 500 E
LOGAN, UT 84341
(435) 752-0422

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
The code describing 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.