What is Cody Clark's NPI number?

Cody Clark's National Provider Identifier (NPI) is 1336968767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Cody Clark's specialty?

Cody Clark is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Cody Clark located?

Cody Clark's practice location on file with NPPES is 620 W Grand Ave, Ponca City, OK 74601-5123.

What is Cody Clark's phone number?

The practice phone number listed in the NPPES registry for Cody Clark is (580) 762-1462.

Is Cody Clark's NPI active?

Yes — Cody Clark's NPI (1336968767) is active in the NPPES registry as of the last update on 2024-10-03.

IndividualActive

Cody Clark

NPI 1336968767 · Peer Specialist · Ponca City, OK

Cody Clark is a Peer Specialist provider in Ponca City, OK (NPI 1336968767).

Provider details

NPI number: 1336968767
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% 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

620 W Grand Ave

Ponca City, OK 74601-5123

Phone: (580) 762-1462

Fax: (581) 765-7299

Street-level locationGet directions

More OK providers

Mailing address