Individual Healthcare Provider
Gordon Blake Clark, MD
Provider's NPPES record last updated: November 2, 2011
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1417937145
- Primary Specialty
- Obstetrics & Gynecology — Obesity Medicine
- Practice Location
- Shawnee, Kansas
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:03 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Obstetrics & Gynecology
Obesity Medicine
Allopathic & Osteopathic Physicians
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.
Taxonomy code 207VB0002X Obstetrics & Gynecology
Allopathic & Osteopathic Physicians
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Taxonomy code 207V00000X
Provider-Reported License Information
- Obstetrics & Gynecology (Kansas)
- 04-23518
- Obstetrics & Gynecology (Kansas)
- KS 04-23518
Practice Locations
Practice Location
21624 Midland Dr
Shawnee, Kansas 66218-9064
Phone: (913) 643-0075
Record Information
- Enumeration Date
- January 19, 2006
- Provider's NPPES Record Last Updated
- November 2, 2011
- NPISignal NPPES Dataset
- August 2026
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