DR. WILLIAM CHARLES CLARK M.D. NPI 1962455725

NPI Information

  • NPI: 1962455725
  • Provider Name: DR. WILLIAM CHARLES CLARK, M.D.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 S WHEELING AVE STE 1110
    TULSA, OK
    ZIP 74104
  • Phone: (918) 301-6018

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NPI Details

DR. William Charles Clark, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Tulsa, OK with 25 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. William Charles Clark, M.D. NPI is 1962455725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

2000 S WHEELING AVE STE 1110
TULSA, OK
ZIP 74104-651
Phone: (918) 301-6018
Fax: (918) 770-0085

The NPI 1962455725 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
  • Fusion of additional segment of spine (HCPCS:22614)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray lower and sacral spine, 2-3 views bending views (HCPCS:72120)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of spine, 1 view (HCPCS:72020)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Fusion of spine in lower back (HCPCS:22612)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/8/2023.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine24842OKLAHOMAYes

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
1200081930AMEDICAIDOKLAHOMA

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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