NPI Details
Keith Fredrick Clark, MD PHD is an otolaryngology in Oklahoma City, OK with 48 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Keith Fredrick Clark, MD PHD NPI is 1376506642. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1978
The provider's business location address is:
535 NW 9TH ST
SUITE 300
OKLAHOMA CITY, OK
ZIP 73102-070
Phone: (405) 272-6027
Fax: (405) 272-8315
The NPI 1376506642 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection of chemical for paralysis of nerve muscles on side of voice box (HCPCS:64617)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Ct scan of face without contrast (HCPCS:70486)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Repair of side of voice box by moving vocal cord to middle (HCPCS:31591)
- Injection into vocal cords using an endoscope with operating microscope or telescope (HCPCS:31571)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Removal of vocal cord growths and reconstruction with local tissue flap using an endoscope with operating microscope or telescope (HCPCS:31545)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)
The enumeration date for this NPI number is 4/8/2006 and was last updated on 10/18/2020.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | 14220 | OKLAHOMA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 157107001 | MEDICAID | ARKANSAS | |
| 2 | A0209Z | OTHER | | PPO OKLAHOMA |
| 3 | P00075512 | OTHER | | RR MEDICARE |
| 4 | 2994975 | OTHER | | AETNA US HEALTHCARE |
| 5 | 100823600B | MEDICAID | OKLAHOMA | |
| 6 | 731461178005 | OTHER | | TRICARE |
