CLEAR MED PROVIDER CORPORATION (NPI# 1548428220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548428220 |
| Entity Type | Organization |
| Organization Name | CLEAR MED PROVIDER CORPORATION |
| Other Organization Name | CLEAR MED FAMILY PRACTICE - HOUTZDALE |
| Practice Address |
710 Brisbin St Houtzdale PA 16651-1301 |
| Mailing Address |
809 Turnpike Ave Clearfield PA 16830-1232 |
| Practice Telephone | 8143787632 |
| Practice Fax Number | 8147385225 |
| Mailing Telephone | 8147682356 |
| Mailing Fax Number | 8147682134 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2010-08-02 |
| Authorized Official Name | RITA V OLSZEWSKI (CLEAR MED ADMINISTRATOR) |
| Authorized Official Telephone | 8147682356 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEARFIELD HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD071012L | PA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | MA051447 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK ASSIGNMENT ACCOUNT | 0166056 | 01 |
| Other Name | Type Code |
|---|---|
| Clear Med Family Practice - Houtzdale | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508024282 | Clear Med Provider Corporation | Family Medicine | 617 State St, Curwensville, PA 16833-1111 | 2008-05-29 |
| 1174891683 | Clear Med Provider Corporation | Urology | 807 Doctors Dr, Clearfield, PA 16830-1240 | 2011-12-12 |
| 1124324256 | Clear Med Provider Corporation | Hospitalist | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2011-02-08 |
| 1083932867 | Clear Med Provider Corporation | Physician Assistant | 815 Doctors Drive, Nathaniel Yingling Cancer Center, Clearfield, PA 16830-1240 | 2010-05-04 |
| 1013243039 | Clear Med Provider Corporation | Family Medicine | 531 Hannah St, Clearfield, PA 16830-1209 | 2009-10-27 |
| 1477784106 | Clear Med Provider Corporation | Clinic/Center | 820 Turnpike Ave, Clearfield, PA 16830-1233 | 2009-07-29 |
| 1942430814 | Clear Med Provider Corporation | Internal Medicine | 531 Hannah St, Suite C, Clearfield, PA 16830-1209 | 2009-07-24 |
| 1811130446 | Clear Med Provider Corporation | Orthopaedic Surgery | 1049 N Front St, Philipsburg, PA 16866-8258 | 2009-04-13 |
| 1932345303 | Clear Med Provider Corporation | Surgery | 807 Turnpike Ave, Suite 220, Clearfield, PA 16830-1238 | 2009-01-06 |
| 1790943108 | Clear Med Provider Corporation | Otolaryngology | 807 Turnpike Ave, Suite 230, Clearfield, PA 16830-1239 | 2008-06-02 |
| Street Address |
710 BRISBIN ST |
| City | HOUTZDALE |
| State | PA |
| Zip Code | 16651-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841831229 | Deanna Lynn Della Torre | Physician Assistant | 209 Institution Drive, Houtzdale, PA 16651 | 2019-10-07 |
| 1124456157 | Tyrone Hospital | Clinic/Center | 125 Spring Street, Houtzdale, PA 16651 | 2013-10-30 |
| 1821298654 | Lisa A Woods | Social Worker | 618 Hannah Street, Houtzdale, PA 16651 | 2007-07-19 |
| 1225152614 | Pierre Boumerhi | Dentist | 439 Spring St., Houtzdale, PA 16651 | 2007-03-19 |
| 1114038387 | Anthony F Shedlock | Family Medicine | 612 Clara Street, Houtzdale, PA 16651 | 2006-08-31 |
| 1982692406 | Michael L Zalno | Specialist/Technologist | 4934 Green Acre Rd, Houtzdale, PA 16651 | 2005-10-10 |
| 1407980014 | Amanda Joy Mccartney | Speech-Language Pathologist | 719 Sue St, Houtzdale, PA 16651-1037 | 2007-03-15 |
| 1205107356 | Moshannon Valley Eye Care LLC | Optometrist | 612 Clara St, Suite 1, Houtzdale, PA 16651-1115 | 2012-01-21 |
| 1184889388 | John Joseph Shedlock | Optometrist | 612 Clara St Ste 1, Houtzdale, PA 16651-1115 | 2008-07-28 |
| 1801210034 | Michele Biancuzzo | Occupational Therapy Assistant | 504 George St, Houtzdale, PA 16651-1225 | 2014-02-07 |
| Find all providers in zip 16651 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.