CLEAR MED PROVIDER CORPORATION (NPI# 1942430814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942430814 |
| Entity Type | Organization |
| Organization Name | CLEAR MED PROVIDER CORPORATION |
| Other Organization Name | CLEAR MED CARDIOLOGY |
| Practice Address |
531 Hannah St Suite C Clearfield PA 16830-1209 |
| Mailing Address |
809 Turnpike Ave Clearfield PA 16830-1232 |
| Practice Telephone | 8147655159 |
| Practice Fax Number | 8147656453 |
| Mailing Telephone | 8147682356 |
| Mailing Fax Number | 8147682134 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | RITA V OLSZEWSKI (ADMINISTRATOR, CLEAR MED) |
| Authorized Official Telephone | 8147682356 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEARFIELD HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD430853 | PA | Allopathic & Osteopathic Physicians |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BCBS ASSIGNMENT ACCOUNT | 2158582 | 01 |
| Other Name | Type Code |
|---|---|
| Clear Med Cardiology | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508024282 | Clear Med Provider Corporation | Family Medicine | 617 State St, Curwensville, PA 16833-1111 | 2008-05-29 |
| 1548428220 | Clear Med Provider Corporation | Family Medicine | 710 Brisbin St, Houtzdale, PA 16651-1301 | 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 |
| 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 |
531 HANNAH ST SUITE C |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297819 | Daniel Evans Huckestein | Family Medicine | 531 Hannah St, Clearfield, PA 16830-1209 | 2005-07-05 |
| 1962887588 | Dubois Regional Med Ctr - Ph Dubois Internal Med/family Med Clearfield | Physician Assistant | 531 Hannah St, Clearfield, PA 16830-1209 | 2015-07-24 |
| 1013243039 | Clear Med Provider Corporation | Family Medicine | 531 Hannah St, Clearfield, PA 16830-1209 | 2009-10-27 |
| 1639337322 | Clear Med Provider Corporation | Family Medicine | 531 Hannah St, Clearfield, PA 16830-1209 | 2008-05-29 |
| 1689605495 | Dubois Regional Medical Center | Family Medicine | 531 Hannah St, Clearfield, PA 16830-1209 | 2006-07-06 |
| 1174574867 | Baltazar L Corcino | Internal Medicine | 531 Hannah St, Clearfield, PA 16830-1209 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| 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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| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 16830 |
Please comment or provide details below to improve the information on CLEAR MED PROVIDER CORPORATION.
| 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.