Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376530600 Individual Practitioner Male Practitioner

Dr. Robert Kenneth Clark , MD

Specialist • Oklahoma City, OK

Professional Overview & Biography Verified Profile Summary

Dr. Robert Clark, MD is a registered healthcare professional specializing in Specialist in Oklahoma City, OK. Practice services are available at 11317 S WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11317 S Western Ave
900

Oklahoma City, OK 731705849

Telephone 4056918855
Fax 4056918891
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
128 Specialists

Practicing in Oklahoma City, OK (463 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OK 13610

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100060770B (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Rodney Sandburg , DDS

Dentist - General Practice

NPI 1154443828

Doctor of Dental Surgery

NPI 1689731069

Doctor of Pharmacy (Pharm.D.)

Dr. David Schwartz , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1699777375

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 20, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2010

Registered at 11317 S WESTERN AVE, 900, OKLAHOMA CITY, OK 731705849 (Tel: 4056918855)

📍
Updated Business Mailing Address January 20, 2010

Registered at 11401 S WESTERN AVE, OKLAHOMA CITY, OK 731705849 (Tel: 4057353041)

👤
Provider Name / Credentials Updated January 20, 2010

Recorded as ROBERT CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2010

Specialist (License #13610 in OK)

🟢
Initial NPI Registration & Enumeration October 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376530600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2005
Last Update: January 20, 2010
Sole Proprietor: No

Mailing Address

11401 S Western Ave

Oklahoma City, OK 731705849

Phone: 4057353041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.