JOHN LARRY CLEMENTS (NPI# 1710920632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710920632 |
Entity Type | Individual |
Full Name | JOHN LARRY CLEMENTS |
Credential | D.P.M. |
Practice Address |
390 S Main St Suite 103 Rocky Mount VA 24151-1766 |
Practice Telephone | 5407251226 |
Practice Fax Number | 5408575306 |
Mailing Telephone | 5407251226 |
Mailing Fax Number | 5408575306 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2014-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0103000391 | VA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | VA PREMIER | 1710920632 | 01 |
VA | HUMANA MEDICARE | 1710920632 | 01 |
VA | AETNA | 1710920632 | 01 |
VA | INTOTAL | 1710920632 | 01 |
VA | TRICARE/CHAMPUS | 540506332085 | 01 |
VA | RAILROAD MEDICARE | P00624452 | 01 |
VA | 1710920632 | 05 | |
VA | GATEWAY | 1710920632 | 01 |
VA | ANTHEM | 1710920632 | 01 |
VA | OPTIMA HEALTH PLAN | 1710920632 | 01 |
VA | BLACK LUNG | 1710920632 | 01 |
VA | HEALTHKEEPERS PLUS | 1710920632 | 01 |
VA | CIGNA | 1710920632 | 01 |
VA | VIRGINIA HEALTH NETWORK | 1710920632 | 01 |
VA | MAJESTACARE | 1710920632 | 01 |
VA | HEALTHKEEPERS | 1710920632 | 01 |
VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1710920632 | 01 |
VA | UMWA | 1710920632 | 01 |
VA | UNITED HEALTHCARE | 1710920632 | 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 |
390 S MAIN ST SUITE 103 |
City | ROCKY MOUNT |
State | VA |
Zip Code | 24151-1766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255321642 | Francis X Moffitt | Obstetrics & Gynecology | 390 S Main St, Suite 100, Rocky Mount, VA 24151-1766 | 2005-10-26 |
1275031981 | Elizabeth Wingfield | Physician Assistant | 390 S Main St, Rocky Mount, VA 24151-1766 | 2018-01-28 |
1053793729 | Julie Taylor | Nurse Practitioner | 390 S Main St, Suite 201, Rocky Mount, VA 24151-1766 | 2015-06-18 |
1629498886 | Brittany Hayes | Family Medicine | 390 S Main St, Rocky Mount, VA 24151-1766 | 2014-04-25 |
1679857254 | Emily Marie Waller | Physician Assistant | 390 S Main St, Suite 201, Rocky Mount, VA 24151-1766 | 2011-09-30 |
1093747594 | Lindsay Hill Sherrard | Family Medicine | 390 S Main St, Suite 201, Rocky Mount, VA 24151-1766 | 2006-07-07 |
1336128818 | Maureen L Mcgary | Registered Nurse | 390 S Main St, Suite 302, Rocky Mount, VA 24151-1711 | 2006-01-12 |
1417931353 | Vergel S Atienza | Family Medicine | 390 S Main St, Suite 201, Rocky Mount, VA 24151-1711 | 2005-12-05 |
1194708784 | Suzanne D Barron | Nurse Practitioner | 390 S Main St, Suite 101, Rocky Mount, VA 24151-1766 | 2005-11-28 |
1639152481 | Robert S Strong | Family Medicine | 390 S Main St, Suite 201, Rocky Mount, VA 24151-1711 | 2005-11-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093987 | Youth Connect of Virginia, Inc. | Counselor | 370 Tanyard Rd, Rocky Mount, VA 24151 | 2018-05-15 |
1568975696 | Kathleen Conway | Speech-Language Pathologist | 25 Bernard Road, Rocky Mount, VA 24151 | 2017-11-11 |
1639581960 | Kylie Morris | Family Medicine | 390 S Main St Ste 201, Rocky Mount, VA 24151 | 2014-05-21 |
1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
1760786115 | Rick H Orange | Pharmacist | 200 Parkside Ln, Rocky Mount, VA 24151 | 2010-12-28 |
1952455875 | Rocky Mount Chiropractic Inc | Chiropractor | 546 Pell Ave, Rocky Mount, VA 24151 | 2007-01-22 |
1912065277 | Becker Clinic Ltd | Chiropractor | 1533 Franklin Street, Rocky Mount, VA 24151 | 2006-12-05 |
1952476244 | Accident and Injury Chiropractic PC | Chiropractor | Accident and Injury Chiropractic PC, 20385 Virgil H Goode Hwy Ste 1, Rocky Mount, VA 24151 | 2006-11-21 |
1548352602 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 365 Pell Ave, Rocky Mount, VA 24151 | 2006-09-28 |
1073611422 | Cathy Zoe Ford | Dentist | 490 S Main Street, Suite 201, Rocky Mount, VA 24151 | 2006-09-20 |
Find all providers in zip 24151 |
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 |
---|---|---|---|---|
1952390221 | Blue Ridge Podiatry Associates | Podiatrist | 390 S Main St Ste 103, Rocky Mount, VA 24151-1767 | 2005-10-19 |
1619056850 | James G. Crawford | Podiatrist | 413 Mill St, Rocky Mount, NC 27804-4837 | 2006-11-06 |
1790873503 | Foot & Ankle Associates of North Carolina, Pllc | Podiatrist | 740 Sutters Creek Blvd, Rocky Mount, NC 27804-8429 | 2006-10-10 |
1952398984 | Carlton Gene Purvis | Podiatrist | 3301 Sunset Ave, Rocky Mount, NC 27804-3578 | 2005-10-04 |
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 |
Find all providers with the same taxonomy |
City | ROCKY MOUNT |
Zip Code | 24151 |
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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.