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NPI · 1073506051 · NPPES-sourced

Dr. Clark Mckenzie MD

ActiveInterventional Cardiology
NPI Number
1073506051
Type 1 · Individual
Taxonomy Code
207RI0011X
Contact
(314) 991-6969
License MO · R4P62
Last Updated
Enumerated
Primary practice addressMO · 63195-2632
450 N New Ballas Rd, Ste 270 WSaint Louis, MO 63195-2632
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About this NPIWhat this record shows.

NPI 1073506051 is registered to Dr. Clark Mckenzie MD, a Interventional Cardiology practising at 450 N New Ballas Rd, Ste 270 W in Saint Louis, Missouri. Interventional Cardiology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Clark Mckenzie MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 004013185MO· Issued by MEDICARE PROV ID AREA 99
  • 1124011010MO· Issued by HHC CATH GROUP NPI
  • 1881863009MO· Issued by FARM GROUP NPI
  • P00275849MO· Issued by RR CCL GROUP
  • 006012762· Issued by MEDICARE PROVIDER ID
  • 110171721MO· Issued by RR MEDICARE NUMBER
  • 000047049MO· Issued by MCARE CCL GROUP NUMBER
  • CI7050MO· Issued by RR GROUP 99
  • MA1080MO· Issued by CCL GROUP NUMBER
  • 1801889795MO· Issued by STL GROUP NPI
  • MA1080001MO· Issued by CCL INDIVDUAL PROV NUMBER
  • CD6536MO· Issued by RR GROUP 01

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Clark Mckenzie MD accepts. To confirm in-network status with your specific health plan, contact Dr. Clark Mckenzie MD directly at (314) 991-6969.

Frequently asked

Yes. NPI 1073506051 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Interventional Cardiology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (314) 991-6969.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Clark Mckenzie MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207RI0011X
Last updated
Enumerated
StatusActive
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