JOHN R CLEMENTS (NPI# 1629012208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629012208 |
| Entity Type | Individual |
| Full Name | JOHN R CLEMENTS |
| Credential | D.P.M. |
| Practice Address |
3 Riverside Cir Roanoke VA 24016-4955 |
| Practice Telephone | 5407251226 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5407251226 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103300956 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1629012208 | 01 |
| VA | RAILROAD MEDICARE | P00403951 | 01 |
| VA | NPI | 1629012208 | 01 |
| VA | VA PREMIER | 1629012208 | 01 |
| VA | MAJESTACARE | 1629012208 | 01 |
| VA | HEALTHKEEPERS | 1629012208 | 01 |
| VA | INTOTAL | 1629012208 | 01 |
| VA | CIGNA | 1629012208 | 01 |
| VA | UNITED HEALTHCARE | 1629012208 | 01 |
| VA | HUMANA MEDICARE | 1629012208 | 01 |
| VA | AETNA | 1629012208 | 01 |
| VA | HEALTHKEEPERS PLUS | 1629012208 | 01 |
| VA | TRICARE | 540506332108 | 01 |
| VA | ANTHEM | 1629012208 | 01 |
| VA | VIRGINIA HEALTH NETWORK | 1629012208 | 01 |
| VA | MEDICAID OF WEST VIRGINIA | 3810011217 | 01 |
| VA | OPTIMA HEALTH PLAN | 1629012208 | 01 |
| VA | GATEWAY | 1629012208 | 01 |
| VA | CAREWORKS | 1629012208 | 01 |
| VA | UMWA | 1629012208 | 01 |
| VA | 1629012208 | 05 | |
| VA | BLACK LUNG | 371194700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932576196 | John Graham Clements | Chiropractor | 7209 Creedmoor Rd Ste 107, Raleigh, NC 27613-1695 | 2015-08-24 |
| 1649472036 | John R. Clements | Dentist | 106 W 2nd Ave, Sandersville, GA 31082 | 2007-06-05 |
| 1346337847 | John K Clements | Optometrist | 1421 S Beverly St, Casper, WY 82609-4131 | 2006-10-06 |
| 1881612364 | John Carl Clements | Internal Medicine | 106 Alexander Bank Dr Ste 200, Mooresville, NC 28117-9624 | 2006-07-17 |
| 1881194926 | John Clements | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-02-15 |
| 1588971907 | John Clifford Clements | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2010-09-07 |
| 1225257686 | John Heard Clements | Dentist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2007-04-24 |
| 1700907516 | John L Clements | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239 | 2007-04-02 |
| 1285794438 | John Ryan Clements | Dentist | 1300 E A St, Suite 208, Casper, WY 82601 | 2006-12-11 |
| 1124191903 | John A Clements | Dentist | 25 North F Street, Hamilton, OH 45013-3075 | 2006-11-17 |
| Street Address |
3 RIVERSIDE CIR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535872 | Bruce E Johnson | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2005-08-19 |
| 1194355024 | Leanna M Stone | Social Worker | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2020-01-20 |
| 1689231847 | Ashley Light | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2019-05-23 |
| 1063975282 | Katherine Elizabeth Chafin | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-04-14 |
| 1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
| 1730652991 | Sydney Elizabeth Garst | Physician Assistant | 3 Riverside Cir, Roanoke, VA 24016 | 2019-01-09 |
| 1306318084 | Sarah Abey | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2018-12-19 |
| 1518439397 | Justin James Gray | Clinical Neuropsychologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-12-18 |
| 1992281877 | Corinne O'shaughnessy | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-13 |
| 1518453463 | Feryal Nauman | Student in an Organized Health Care Education/Training Program | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427104611 | Donald James Stefl II | Podiatrist | 2705 Brambleton Ave Sw, Roanoke, VA 24015-4307 | 2007-01-28 |
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| 1831506146 | Boyd Jensen IIi | Podiatrist | 222 Walnut Ave Sw, Roanoke, VA 24016-4723 | 2014-07-18 |
| 1942566252 | Corey Michael Fidler | Podiatrist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2012-04-11 |
| 1295020980 | Donald J Stefl, Dpm | Podiatrist | 2705 Brambleton Ave Sw, Roanoke, VA 24015-4307 | 2011-06-10 |
| 1003905878 | Shenandoah Valley Podiatry | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-10-12 |
| 1144201740 | Craig Alan Wilhelms | Podiatrist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972543 | Achilles Foot Ankle Center Inc | Podiatrist | 681 Hioaks Rd Ste D, Richmond, VA 23225-4043 | 2019-10-08 |
| 1780225078 | Achilles Foot Ankle Center Inc | Podiatrist | 100 Winters St Ste 106, West Point, VA 23181-9534 | 2019-10-08 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| 1982151577 | Complete Care Medical Group LLC | Podiatrist | 41 Peach Grove Ln, Montross, VA 22520-2756 | 2016-09-01 |
| 1245694488 | Kevin David Rabie | Podiatrist | 3720 Holland Rd Ste 100, Virginia Beach, VA 23452-2859 | 2016-04-13 |
| 1093191280 | Lisa Morse | Podiatrist | 174 Todds Creek Ln, Mathews, VA 23109-2144 | 2015-08-11 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1770990764 | Ribeiro Foot and Ankle Center | Podiatrist | 4660 Kenmore Ave Ste 602, Alexandria, VA 22304-1300 | 2014-07-22 |
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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.