DR. KEITH MONTGOMERY CLANCE M.D. NPI 1225090889

NPI Information

NPI: 1225090889
Provider Name: DR. KEITH MONTGOMERY CLANCE, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
520 N ELAM AVE
GREENSBORO, NC
ZIP 27403
Phone: (336) 547-1801
Get Directions

DR. Keith Montgomery Clance, M.D. is a pulmonary disease internal medicine in Greensboro, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Keith Montgomery Clance, M.D. NPI is 1225090889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 N ELAM AVE
GREENSBORO, NC
ZIP 27403-127
Phone: (336) 547-1801
Fax: (336) 547-1828

The NPI 1225090889 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), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 12/5/2012.

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
1	207R00000X	Internal Medicine		35110	NORTH CAROLINA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	35110	NORTH CAROLINA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	35110	NORTH CAROLINA	Yes

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
1	22503	OTHER	NORTH CAROLINA	BCBS NC PROVIDER NUMBER
2	1880	OTHER	NORTH CAROLINA	PARTNERS MEDICARE PROV #
3	4230049	OTHER	NORTH CAROLINA	AETNA PROVIDER NUMBER
4	8922503	MEDICAID	NORTH CAROLINA
5	F23657	MEDICARE UPIN
6	2169594D	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MEDICARE PROVIDER NUMBER
7	67906	OTHER	NORTH CAROLINA	MEDCOST PROVIDER NUMBER

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

NPI Synchronization or Removal

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