Martin Joseph Clinard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004170 Issued in MI

Practice address

501 S Drake Rd
Kalamazoo, MI 49009-3234

Phone

(269) 343-1296

Fax

(269) 344-8485

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1003831298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINARD",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Clayton
• Brian Cleary, MD
• William Kevin Clegg, M.D.
• Catherine J. Clelland, RN
• Robert William Clements Jr., D.D.S.
• Rebecca Leigh Clinard, PT
• Scott David Cline, M.D.
• Clinical Psychology Services, PLLC
• CLM Enterprises Inc.
• CLM Enterprises Inc.

• Medical Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.