DR. NICHOLAS WILLIAM CLARK MD NPI 1386106201

NPI Information

  • NPI: 1386106201
  • Provider Name: DR. NICHOLAS WILLIAM CLARK, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3300 NW 56TH ST STE 202
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 555-1234

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NPI Details

DR. Nicholas William Clark, MD is a facial plastic surgery otolaryngology in Oklahoma City, OK. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Nicholas William Clark, MD NPI is 1386106201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 NW 56TH ST STE 202
OKLAHOMA CITY, OK
ZIP 73112-401
Phone: (405) 555-1234

The NPI 1386106201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 10/22/2025.

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
1207Y00000XOtolaryngology99942GEORGIANo
2207YS0123XOtolaryngologyFacial Plastic Surgery45294OKLAHOMAYes
3207Y00000XOtolaryngology249966NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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