Robert Clark MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROBERT CLARK MD

Practice address

11401 S. Western
Oklahoma City, OK 73170

Phone

(405) 735-3041

Fax

(405) 735-3146

NPI assigned

Aug 15, 2007

Organization subpart

Yes

Parent organization

INTEGRIS AMBULATORY CARE CORPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bart H Dawson

Title

Vice President

Phone

(405) 951-2987

Specialties & licenses 1

Addresses

Part of

Integris Int Med Central

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Integris Ambulatory Care Corporation

  • Rehabilitation Clinic/Center
  • Bethany, OK
  • NPI 1922748086

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Kenneth Clark, M.D.

  • Specialist
  • Oklahoma City, OK
  • NPI 1376530600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1710179684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960313",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001",
            "telephone_number": "405-951-2298",
            "fax_number": "405-951-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 S. WESTERN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73170",
            "telephone_number": "405-735-3041",
            "fax_number": "405-735-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT CLARK MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS AMBULATORY CARE CORP",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "405-951-2987"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romas C Roberson
• Shannon Elizabeth Roberson, MOTR/L
• Stephanie Maria Roberson, CRNA
• Robert a Hein, M.D.,P.C
• Robert B. Bryan II, DDS, PLLC
• Robert D Mars DDS Inc
• Robert D. Boggs D.C., P.C.
• Robert E Leonard II MD PLLC
• Robert J. Tyndall, M.D., P.C.
• Robert M. Gordon, M.D., P.L.L.C.

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.