SHIRLEY CLOUSE MD NPI 1922048214

NPI Information

NPI: 1922048214
Provider Name: SHIRLEY CLOUSE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
35 BARBAROSSA LN
KINGSTON, NY
ZIP 12401
Phone: (845) 338-3737
Get Directions

Shirley Clouse, MD is a family medicine in Kingston, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shirley Clouse, MD NPI is 1922048214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 BARBAROSSA LN
KINGSTON, NY
ZIP 12401-221
Phone: (845) 338-3737
Fax: (845) 338-3939

The NPI 1922048214 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 6/7/2006 and was last updated on 7/9/2007.

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	207Q00000X	Family Medicine		208517-1	NEW YORK	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	2473P1	OTHER	NEW YORK	EMPIRE BC/BS
2	02209901	MEDICAID	NEW YORK
3	000498939006	OTHER	NEW YORK	BLUE SHIELD NORTHEASTERN
4	361509	OTHER	NEW YORK	MVP HEALTH PLAN
5	H40129	MEDICARE UPIN	NEW YORK
6	33V171	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE
7	087314	OTHER	NEW YORK	GHI HMO INSURANCE
8	10057418	OTHER	NEW YORK	CDPHP
9	2473P2	OTHER	NEW YORK	EMPIRE BC/BS

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: 11/14/2023

NPI Synchronization or Removal

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