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DR. RODNEY LEE CLARK MD NPI 1649590886


NPI Information

NPI: 1649590886
Provider Name: DR. RODNEY LEE CLARK, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.

PECOS Registration: Yes

Address:
4800 E JOHNSON AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 936-1000
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DR. Rodney Lee Clark, MD is a hospitalist in Jonesboro, AR with 14 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Rodney Lee Clark, MD NPI is 1649590886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

4800 E JOHNSON AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 936-1000
Fax: (870) 936-2038

The NPI 1649590886 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 enumeration date for this NPI number is 6/10/2010 and was last updated on 6/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineE-8118ARKANSASNo
2208M00000XHospitalistE-8118ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201987001MEDICAIDARKANSAS

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: 11/14/2023

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.