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JOHN R CLEMENTS D.P.M. NPI 1629012208


NPI Information

NPI: 1629012208
Provider Name: JOHN R CLEMENTS, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016
Phone: (540) 725-1226
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John R Clements, D.P.M. is a podiatrist in Roanoke, VA with 21 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. John R Clements, D.P.M. NPI is 1629012208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016-955
Phone: (540) 725-1226
Fax: (540) 857-5306

The NPI 1629012208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 3/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist0103300956VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629012208OTHERVIRGINIAAETNA
21629012208OTHERVIRGINIACAREWORKS
31629012208OTHERVIRGINIAVIRGINIA HEALTH NETWORK
41629012208MEDICAIDVIRGINIA
51629012208OTHERVIRGINIAOPTIMA HEALTH PLAN
61629012208OTHERVIRGINIAHEALTHKEEPERS
71629012208OTHERVIRGINIAVA PREMIER
81629012208OTHERVIRGINIANPI
91629012208OTHERVIRGINIAANTHEM
101629012208OTHERVIRGINIACIGNA
111629012208OTHERVIRGINIAUNITED HEALTHCARE
12371194700OTHERVIRGINIABLACK LUNG
133810011217OTHERVIRGINIAMEDICAID OF WEST VIRGINIA
14P00403951OTHERVIRGINIARAILROAD MEDICARE
151629012208OTHERVIRGINIAINTOTAL
161629012208OTHERVIRGINIAHEALTHKEEPERS PLUS
171629012208OTHERVIRGINIAHUMANA MEDICARE
181629012208OTHERVIRGINIAUMWA
191629012208OTHERVIRGINIASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
20540506332108OTHERVIRGINIATRICARE
211629012208OTHERVIRGINIAGATEWAY
221629012208OTHERVIRGINIAMAJESTACARE
23012456C19MEDICARE PINVIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.