Active NPI
Albert a Clairmont MD
- Otolaryngology Physician
- Cleveland, TN
National Provider Identifier
1013054972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 36996
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3882469 | Medicaid | TN | |
| 36996 | Other | TN | LIC |
National Provider Directory
National Provider DirectoryLocations
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.