Kathleen A. Clark MD PA
NPI 1083085385ActiveOrganization· Internal Medicine· Amarillo, TX
Internal Medicine in Amarillo, Texas, registered in NPPES in October 2015. The authorized official on file is Kathleen Anne Clark, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083085385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2015 |
| Last updated in NPPES | Nov 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | P8871 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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