NPI Details
James Paul Clark, MD is an allergy immunology in Charleston, WV with 35 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. James Paul Clark, MD NPI is 1306838453. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:1991
The provider's business location address is:
3411A NOYES AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 344-2459
Fax: (304) 345-1336
The NPI 1306838453 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Test for allergy using allergenic extract (HCPCS:95004)
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Professional service for multiple injections of allergen (HCPCS:95117)
- Test for allergy using allergenic extract injected into skin (HCPCS:95024)
- Professional service for single injection of allergen (HCPCS:95115)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Nasal smear for eosinophils (allergy related white blood cells) (HCPCS:89190)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
The enumeration date for this NPI number is 8/16/2005 and was last updated on 10/24/2018.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207K00000X | Allergy & Immunology | | 17504 | WEST VIRGINIA | Yes |
| 2 | 207KA0200X | Allergy & Immunology | Allergy | 17504 | WEST VIRGINIA | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 5720204 | OTHER | WEST VIRGINIA | AETNA |
| 2 | 0079196000 | MEDICAID | WEST VIRGINIA | |
| 3 | 001722434 | OTHER | WEST VIRGINIA | BLUE CROSS BS |
