Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clark Thomas Eddy, DO

Individual provider Family Medicine Physician · NPI 1962609941

Clark Thomas Eddy, DO is a Hospitalist in Shawnee Mission, Kansas. Graduated from Kansas City College of Medicine and Surgery in 2007, 19 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
19
Trained at
Kansas City College of Medicine and Surgery
Licensed in
KS
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 676-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05-33757 (KS)

Record details

NPI number1962609941
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 2, 2007
Last updated in NPPESApril 6, 2018
Mailing address36123 Schoolcraft Rd, Livonia, MI 48150-1216

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2007 (19 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Shawnee Mission