Organization Active NPI

Albert a Clairmont MD

  • Otolaryngology Physician
  • Cleveland, TN
National Provider Identifier
1013054972
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36996 Issued in TN
Legal business name
ALBERT A CLAIRMONT MD
Practice address
2700 Westside Dr NW
Suite 308
Cleveland, TN 37312-3699
Phone
(423) 479-4132
Fax
(423) 478-5347
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Ms. Jean M Vierling
Title
Asst.
Phone
(423) 479-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 36996 TN Primary

Addresses

Primary practice location

2700 Westside Dr NW
Suite 308
Cleveland, TN 37312-3699

Mailing address

2700 Westside Dr NW
Suite 308
Cleveland, TN 37312-3699
Phone (423) 479-4132

Other identifiers 2

IdentifierTypeStateIssuer
3882469MedicaidTN
36996OtherTNLIC

National Provider Directory

National Provider Directory

Locations

2700 Westside Dr NW
Ste 308
Cleveland, TN 37312
Phone (423) 339-0051

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1013054972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTSIDE DR NW",
            "address_2": "SUITE 308",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123699",
            "telephone_number": "423-479-4132",
            "fax_number": "423-478-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTSIDE DR NW",
            "address_2": "SUITE 308",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123699",
            "telephone_number": "423-479-4132",
            "fax_number": "423-478-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT A CLAIRMONT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "VIERLING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASST.",
        "authorized_official_telephone_number": "423-479-4132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "36996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3882469",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "36996",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.