Kathleen A. Clark MD PA
NPI 1083085385 · Internal Medicine Physician · Amarillo, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathleen A. Clark MD PA is a Internal Medicine Physician organization in Amarillo, TX (NPI 1083085385).
Provider details
- NPI number
- 1083085385
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Clark, MD(806) 350-7311
- License
- P8871 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southwest Anti-Aging Center
Registry dates
- Enumerated
- 2015-10-13
- Last updated
- 2017-11-09
Frequently asked questions
- What is Kathleen A. Clark MD PA's NPI number?
- Kathleen A. Clark MD PA's National Provider Identifier (NPI) is 1083085385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kathleen A. Clark MD PA?
- Kathleen A. Clark MD PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kathleen A. Clark MD PA located?
- Kathleen A. Clark MD PA's practice location on file with NPPES is 5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178.
- What is Kathleen A. Clark MD PA's phone number?
- The practice phone number listed in the NPPES registry for Kathleen A. Clark MD PA is (806) 350-7311.
- Does Kathleen A. Clark MD PA accept Medicare?
- Kathleen A. Clark MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kathleen A. Clark MD PA?
- The authorized official listed on Kathleen A. Clark MD PA's NPPES record is Kathleen Clark, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kathleen A. Clark MD PA's NPI active?
- Yes — Kathleen A. Clark MD PA's NPI (1083085385) is active in the NPPES registry as of the last update on 2017-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.