NPI Details
Justin Clark, D.O. is an allergy immunology in Fort Walton Beach, FL with 26 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. Justin Clark, D.O. NPI is 1538129085. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2000
The provider's business location address is:
362 BEAL PKWY NW STE 105
FORT WALTON BEACH, FL
ZIP 32548-926
Phone: (850) 862-3020
Fax: (850) 862-1363
The NPI 1538129085 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)
- Test for allergy using skin patch (HCPCS:95044)
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Professional service for multiple injections of allergen (HCPCS:95117)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Test to measure expiratory airflow and volume (HCPCS:94010)
The enumeration date for this NPI number is 3/27/2006 and was last updated on 3/17/2018.
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 | | OS9224 | FLORIDA | Yes |
