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

Dr. Clark R McKenzie, MD

Individual provider Cardiovascular Disease Physician · NPI 1073506051

Dr. Clark R McKenzie, MD is an Interventional Cardiology in Saint Louis, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1989, 37 years ago. Practices with Heart Care Specialists LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
37
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 N New Ballas Rd Ste 270 W
Saint Louis, MO 63195-2632
Phone: (314) 991-6969
Fax: (314) 997-6969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence R4P62 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence R4P62 (MO)

Record details

NPI number1073506051
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESJanuary 19, 2016

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), NEPHROLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Heart Care Specialists Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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