Gordon Clark, MD

Individual Active
NPI 1417937145
Obesity Medicine (Obstetrics & Gynecology) Physician Shawnee, KS

NPI 1417937145 belongs to Gordon Clark, MD, an obesity medicine (obstetrics & gynecology) physician with a practice location in Shawnee, KS. The NPI was issued on January 19, 2006, and the record was last updated in NPPES on November 2, 2011. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Obesity Medicine (Obstetrics & Gynecology) Physician Primary 207VB0002X 04-23518 (KS)
Obstetrics & Gynecology Physician 207V00000X KS 04-23518 (KS)

Practice location

21624 Midland Dr
Shawnee, KS 66218-9064
Phone: (913) 643-0075

Local context

Active NPPES records list 3 providers with obesity medicine (obstetrics & gynecology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 5 in Kansas and 46 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Gordon Blake Clark
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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