What is Michael Clark's NPI number?

Michael Clark's National Provider Identifier (NPI) is 1417732397, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Clark's specialty?

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

Where is Michael Clark located?

Michael Clark's practice location on file with NPPES is 1011 S Muskogee Ave, Tahlequah, OK 74464-4733.

What is Michael Clark's phone number?

The practice phone number listed in the NPPES registry for Michael Clark is (918) 525-6035.

Is Michael Clark's NPI active?

Yes — Michael Clark's NPI (1417732397) is active in the NPPES registry as of the last update on 2023-08-29.

IndividualActive

Michael Clark

NPI 1417732397 · Peer Specialist · Tahlequah, OK

Michael Clark is a Peer Specialist provider in Tahlequah, OK (NPI 1417732397).

Provider details

NPI number: 1417732397
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

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

Registry tenure38% of score
2 yrs 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

1011 S Muskogee Ave

Tahlequah, OK 74464-4733

Phone: (918) 525-6035

Street-level locationGet directions

More OK providers

Mailing address