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Dr. Keith David Clancy, MD
Trauma Surgery Physician in Fort Wayne, Indiana
NPI 1164482303

Keith David Clancy is a Trauma Surgery Physician based in Fort Wayne, IN and is specialized in Trauma Surgery. Keith David Clancy practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Keith David Clancy is 1164482303 and holds a License No. MD067578-L (Indiana).

The current practice location address for Keith David Clancy is 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN and can be reached out via phone at 260-458-3610 and via fax at 260-458-3611.

Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164482303
Provider Name
Keith David Clancy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7900 W Jefferson Blvd Ste 306, Fort Wayne, IN, 46804-7934
Phone Number
260-458-3610
Fax Number
260-458-3611
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001757641 05 PA
117558 01 PA UNISON-WMG
562564 01 PA HIGHMARK BLUE SHIELD
039983 01 PA JOHNS HOPKINS
20006031 01 PA AMERIHEALTH MERCY-WMG
7731206 01 PA AETNA
01122002 01 PA CAPITAL BLUE CROSS-WMG
491516 01 PA MAMSI-WMG
610201 01 MD CAREFIRST MD BCBS
1506063 01 PA GATEWAY-WMG
56845 01 PA GEISINGER
0342984000 01 PA AMERIHEALTH 65 PA
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd Ste 306
City
Fort Wayne
State
Indiana
Zip
46804-4128
Phone Number
260-458-3610
Fax Number
260-458-3611
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd Ste 306
City
Fort Wayne
State
Indiana
Zip
46804-4128
Phone Number
260-458-3610
Fax Number
260-458-3611
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
35.123491 (Ohio)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
2086S0102X
License No.
036.090092 (Illinois)
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
MD067578-L (Pennsylvania)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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