Gordon Clark, MD
Gordon Clark, MD is an Obesity Medicine (Obstetrics & Gynecology) Physician in Shawnee, KS, registered under NPI 1417937145. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 21624 MIDLAND DR, Shawnee, KS 66218. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 04-23518 | KS | Obesity Medicine (Obstetrics &… primary |
| KS 04-23518 | KS | Obstetrics & Gynecology Physician |
This provider holds licence 04-23518 issued in KS. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Obstetrics/gynecology
- PAC ID
- 7618875378
- Enrollment ID
- I20111213000326
Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Obesity Medicine covers
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. NUCC Health Care Provider Taxonomy, code 207VB0002X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207VB0002X | Obesity Medicine (Obstetrics & Gynecology) Physician Obesity Medicine | 04-23518 | KS | primary |
| 207V00000X | Obstetrics & Gynecology Physician | KS 04-23518 | KS |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417937145 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 19, 2006 |
| Last updated | Nov 2, 2011 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD |
| Practice address |
21624 MIDLAND DR Shawnee, KS 66218 (913) 643-0075 Fax (913) 643-0077 |
| Other identifiers |
100305190D
· Medicaid (KS) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 9 | 3 | 7 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 9 | 3 | 5 | 1 | 8 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.