PROF. CLARENCE O. HUGHES (NPI# 1275804155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275804155 |
| Entity Type | Individual |
| Full Name | PROF. CLARENCE O. HUGHES |
| Credential | M.D. |
| Practice Address |
1850 Jade Dr. Homer AK 99603-0009 |
| Mailing Address |
1850 Jade Dr. Po Box 9 Homer AK 99603-0009 |
| Practice Telephone | 9072354229 |
| Practice Fax Number | 9072351936 |
| Mailing Telephone | 9072354229 |
| Mailing Fax Number | 9072351936 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4301024644 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1850 JADE DR. |
| City | HOMER |
| State | AK |
| Zip Code | 99603-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417117086 | Sarah L Roberts | Family Medicine | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619388600 | Dennis Lynn Mickleson | Family Medicine | 8220 Gold Bullion Blvd, Palmer, AK 99645 | 2014-05-13 |
| 1437364122 | Roger David Martinez | Family Medicine | Central Peninsula General Hospital 250 Hospital Place, Emergency Department, Soldotna, AK 99669 | 2007-05-14 |
Please comment or provide details below to improve the information on PROF. CLARENCE O. HUGHES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.