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DR. BARRY LEE CLARK D.O. NPI 1891795985


NPI Information

NPI: 1891795985
Provider Name: DR. BARRY LEE CLARK, D.O.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

PECOS Registration: Yes

Address:
700 MEDICAL PARK DR
HARTSVILLE, SC
ZIP 29550
Phone: (843) 383-3742
Get Directions

DR. Barry Lee Clark, D.O. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Hartsville, SC with 26 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Barry Lee Clark, D.O. NPI is 1891795985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1998

The provider's business location address is:

700 MEDICAL PARK DR
HARTSVILLE, SC
ZIP 29550-765
Phone: (843) 383-3742

The NPI 1891795985 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, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 7/29/2005 and was last updated on 10/30/2020.


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
1207X00000XOrthopaedic Surgery833SOUTH CAROLINANo
2207X00000XOrthopaedic Surgery26229MISSISSIPPINo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery26229MISSISSIPPIYes

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
102537316MEDICAIDMISSISSIPPI

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: 4/28/2024

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