Robert T Clark Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-34214 Issued in KS

Practice address

715 Southwind Dr
Junction City, KS 66441-9021

Phone

(785) 209-3779

Fax

(785) 209-3780

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Texas Southwestern Medical School at Dallas, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victory Clinic LLCGroup PAC ID 8729459607, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victory Clinic LLC

  • Multi-Specialty Clinic/Center
  • Junction City, KS
  • NPI 1104540079

  Family Medicine

  Medicare reassignment Care Compare group NPD
• DCS Medical PA

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768
  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809

  KS

  Medicare reassignment NPD
• Edwards County Hospital and Healthcare Center

  • Rural Health Clinic/Center
  • Kinsley, KS
  • NPI 1649372012
  NPD
• DCS Medical PA

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD
• Williams Medical Group Practice, LLC

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Flint Hills Heart Vascular and Vein Clinic, LLC

  • Interventional Cardiology Physician
  • Manhattan, KS
  • NPI 1760820492
  NPD (past)
• Yoakum County Medical Associates PLLC

  • Family Medicine Physician
  • Denver City, TX
  • NPI 1760653976
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1811903560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SOUTHWIND DR",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664419021",
            "telephone_number": "785-209-3779",
            "fax_number": "785-209-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SOUTHWIND DR",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664419021",
            "telephone_number": "785-209-3779",
            "fax_number": "785-209-3780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 N Main St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660431305",
            "country_code": "US",
            "telephone_number": "913-250-5155",
            "fax_number": "913-250-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 1st Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678014437",
            "country_code": "US",
            "telephone_number": "620-471-3140",
            "fax_number": "620-471-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Vanesta Dr",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665032001",
            "country_code": "US",
            "telephone_number": "785-775-1867",
            "fax_number": "785-775-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6510 S Academy Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068691",
            "country_code": "US",
            "telephone_number": "719-698-7933",
            "fax_number": "719-698-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0076371",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "40537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3194",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-34214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004083830004",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinda Chase, LPN
• Miles Christensen
• City of Junction City
• Janet Kim Clark, LAC
• Kristie M Clark, M.D.
• Sandra D Clark
• John Clyde
• Alexis Clymore
• Melody Joy Cole, LPC
• Bianca Colon, LMSW

• Family Medicine Physician in Junction City, KS
• Providers in Junction City, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.