National Provider Identifier Database

DAVID W CLARK, MD – NPI #1265433940
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

DAVID W CLARK, MD
12300 METCALF AVE
OVERLAND PARK, KS66213-1324
Phone: 913-317-7485
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for DAVID W CLARK

NPI Number 1265433940
Credentials MD
Entity Individual
Enumeration date 08/03/2005
Last updated 07/14/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 04-27540
  • KS Medicaid: 100317940A
  • KS Medicaid: 100317940C
  • MO Medicaid: 208678029
  • Other: 930066218 RR MEDICARE GROUP CG8899
  • Other: P00188856 RR MEDICARE GROUP DC6712
  • KS Other: 01674018 BCBS OF KC MO GROUP ID #
  • MO Other: 25062077 BCBS KC MO
  • MO Other: 25062057 BCBS OF KC MO
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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