Dr. Keith David Clancy, MD
Dr. Keith David Clancy, MD is a General Surgery in Fort Wayne, Indiana. Graduated from Creighton University School of Medicine in 1992, 34 years ago. Practices with Florida Trauma Services LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana, Ohio and Pennsylvania.
- Years since qualifying
- 34
- Trained at
- Creighton University School of Medicine
- Licensed in
- IL, IN, OH, PA
- In the registry since
- 2006
- Specialties on file
- 10
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
7900 W Jefferson Blvd Ste 306Fort Wayne, IN 46804-4128
Phone: (260) 458-3610
Fax: (260) 458-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Trauma Surgery Physician (primary) | Taxonomy 2086S0127X · Licence 01079569A (IN) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence MD067578-L (PA) |
| Surgery Physician | Taxonomy 208600000X · Licence 036.090092 (IL) |
| Surgery Physician | Taxonomy 208600000X · Licence 35.123491 (OH) |
| Surgery Physician | Taxonomy 208600000X · Licence 01079569A (IN) |
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence MD067578-L (PA) |
| Surgical Critical Care Physician | Taxonomy 2086S0102X · Licence 35.123491 (OH) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence 036.090092 (IL) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence MD067578-L (PA) |
| Trauma Surgery Physician | Taxonomy 2086S0127X · Licence 35.123491 (OH) |
Record details
| NPI number | 1164482303 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 23, 2006 |
| Last updated in NPPES | September 23, 2020 |
| Certification date | September 23, 2020 |
| Mailing address | 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1992 (34 years in practice) |
| Group practice | Florida Trauma Services Llc — 93 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Wayne
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Lionel R Brounts, MD
2121 Lake Ave, Fort Wayne, IN 46805-5100 · (602) 426-5431
-
Dr. Andrew Scott Brown, DO
11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 · (833) 724-8326
-
Dr. Cressilee Bryant, MD
11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 · (260) 266-8900
-
Raymond A. Cava, MD
11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 · (260) 484-9611
-
Dr. Patricia L Clark, MD
11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 · (833) 724-8326
-
Paul F. Conarty, MD
11141 Parkview Plaza Dr Ste 310, Fort Wayne, IN 46845-1701 · (260) 489-8898
-
Dr. Ian H. Cook, MD
2121 Lake Ave Veterans Affairs Medical Ctr, Fort Wayne, IN 46805-5100 · (260) 426-5431
-
Dr. Jo A Cooke-Barber, MD
7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 · (260) 469-7337