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NPI · 1366732729 · NPPES-sourced

Katelyn Clark M.D.

ActiveSurgery
NPI Number
1366732729
Type 1 · Individual
Taxonomy Code
208600000X
Contact
(541) 222-8333
License OR · MD175116
Last Updated
Enumerated
Primary practice addressOR · 97477
Peacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300Springfield, OR 97477
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About this NPIWhat this record shows.

NPI 1366732729 is registered to Katelyn Clark M.D., a Surgery practising at Peacehealth Surgical Specialties, 3355 Riverbend Dr., Suite 300 in Springfield, Oregon. Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Katelyn Clark M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2011.

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.

Medicaid

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 Katelyn Clark M.D. accepts. To confirm in-network status with your specific health plan, contact Katelyn Clark M.D. directly at (541) 222-8333.

Frequently asked

Yes. NPI 1366732729 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgery 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 (541) 222-8333.

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. Katelyn Clark M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208600000X
Last updated
Enumerated
StatusActive
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