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

Dr. Gordon Blake Clark, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1417937145

Dr. Gordon Blake Clark, MD is an Obstetrics/Gynecology in Shawnee, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
37
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

21624 Midland Dr
Shawnee, KS 66218-9064
Phone: (913) 643-0075
Fax: (913) 643-0077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VB0002X · Licence 04-23518 (KS)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence KS 04-23518 (KS)

Record details

NPI number1417937145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 19, 2006
Last updated in NPPESNovember 2, 2011
Mailing address21624 Midland Dr, Shawnee, KS 66218-9064

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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