Individual
DR. KEITH DAVID CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01079569A
IN
208600000X
Surgery Physician
036.090092
IL
208600000X
Surgery Physician
35.123491
OH
208600000X
Surgery Physician
MD067578-L
PA
2086S0102X
Surgical Critical Care Physician
35.123491
OH
2086S0102X
Surgical Critical Care Physician
MD067578-L
PA
2086S0127X
Trauma Surgery Physician
Primary
01079569A
IN
2086S0127X
Trauma Surgery Physician
036.090092
IL
2086S0127X
Trauma Surgery Physician
35.123491
OH
2086S0127X
Trauma Surgery Physician
MD067578-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001757641
—
PA
01
—
01122002
CAPITAL BLUE CROSS-WMG
PA
01
—
0342984000
AMERIHEALTH 65 PA
PA
01
—
039983
JOHNS HOPKINS
PA
01
—
117558
UNISON-WMG
PA
01
—
1506063
GATEWAY-WMG
PA
01
—
20006031
AMERIHEALTH MERCY-WMG
PA
01
—
491516
MAMSI-WMG
PA
01
—
562564
HIGHMARK BLUE SHIELD
PA
01
—
56845
GEISINGER
PA
01
—
610201
CAREFIRST MD BCBS
MD
01
—
7731206
AETNA
PA
Enumeration date
03/23/2006
Last updated
09/23/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up