Katelyn Ann Clark, M.D.
Katelyn Ann Clark is a Surgery Physician provider (Surgery) practicing in Springfield, OR, registered in the NPPES registry with NPI 1366732729 since 2011. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1366732729 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Katelyn Ann Clark |
| Credential | M.D. |
| Sex | Female |
| Practice address | Springfield, OR, 97477 |
| Phone | 5412228333 |
| Fax | 5412228320 |
| Enumeration date | 2011-04-19 |
| Last updated in NPPES | 2024-02-28 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | MD175116 | OR |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500654943 | Medicaid | OR | — |
Copy-ready billing details
Provider: Katelyn Clark, M.D. NPI: 1366732729 Taxonomy: 208600000X (Surgery Physician) Address: Springfield, OR, 97477
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972548766 | Camille Leider | Individual | Family Nurse Practitioner | Springfield, OR |
| 1134210370 | Daniel Cusati | Individual | Surgery Physician | Springfield, OR |
| 1235357104 | Nichole Ingalls | Individual | Surgery Physician | Springfield, OR |
| 1205355740 | Heidi Semple | Individual | Family Nurse Practitioner | Springfield, OR |
Verify this record
Cross-check NPI 1366732729 against the authoritative CMS record: view Katelyn Ann Clark on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Katelyn Clark practice?
What is the NPI number for Katelyn Clark?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-28.