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CLEAR MED PROVIDER CORPORATION NPI 1477784106


NPI Information

NPI: 1477784106
Provider Name: CLEAR MED PROVIDER CORPORATION

Other Name: CLEAR MED PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
820 TURNPIKE AVE
CLEARFIELD, PA
ZIP 16830
Phone: (814) 765-2006
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CLEAR MED PROVIDER CORPORATION is a foot and ankle surgery podiatrist in Clearfield, PA. CLEAR MED PROVIDER CORPORATION NPI is 1477784106. The provider is registered as an organization entity type.
The provider Other Name Is Clear Med Podiatry.

The provider's business location address is:

820 TURNPIKE AVE
CLEARFIELD, PA
ZIP 16830-233
Phone: (814) 765-2006
Fax: (814) 765-8807

The provider's authorized official is Rita V Olszewski .
The authorized official title is Clear Med Administrator and has the following contact phone number (814) 768-2356.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 8/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricNo
2213ES0103XPodiatristFoot & Ankle SurgerySC005951PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12125484OTHERPENNSYLVANIAHIGHMARK ASSIGNMENT ACCOUNT
2044540MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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