MR. FRED ELTON CLARK M.D. NPI 1609022086

NPI Information

  • NPI: 1609022086
  • Provider Name: MR. FRED ELTON CLARK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4401 4TH ST N
    SAINT PETERSBURG, FL
    ZIP 33703
  • Phone: (727) 525-4401

Map and Directions

Get Directions

NPI Details

MR. Fred Elton Clark, M.D. is a family medicine in Saint Petersburg, FL with 20 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Fred Elton Clark, M.D. NPI is 1609022086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4401 4TH ST N
SAINT PETERSBURG, FL
ZIP 33703-728
Phone: (727) 525-4401
Fax: (727) 525-7788

The NPI 1609022086 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.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Evaluation of use of breathing device (HCPCS:94664)
  • Test to determine lung volumes using gas dilution or washout (HCPCS:94727)
  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Test to measure largest amount of air breathed in an out (HCPCS:94200)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Test to measure lung airway sensitivity (HCPCS:94070)

The enumeration date for this NPI number is 8/18/2008 and was last updated on 4/18/2017.

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
1207Q00000XFamily MedicineME102187FLORIDAYes

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
17A6EUOTHERFLORIDABCBS
2CF695WMEDICARE UPINFLORIDA
3137000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.