Individual provider Active NPI

Pamela Jo Clair, MD

  • Pediatrics Physician
  • Wexford, PA
National Provider Identifier
1043218704
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD087948E Issued in PA
Practice address
9795 Perry Hwy Ste 100
Wexford, PA 15090-9700
Phone
(412) 366-7337
Fax
(412) 366-5118
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD087948E PA Primary

Addresses

Primary practice location

9795 Perry Hwy Ste 100
Wexford, PA 15090-9700

Mailing address

9795 Perry Hwy
Suite 100
Wexford, PA 15090-9700
Phone (412) 366-7337

Other identifiers 1

IdentifierTypeStateIssuer
0011304670012MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pclair97150@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD087948EPAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: pclair97150@direct.ahn.org

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1043218704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 PERRY HWY",
            "address_2": "SUITE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909700",
            "telephone_number": "412-366-7337",
            "fax_number": "412-366-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9795 PERRY HWY STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909700",
            "telephone_number": "412-366-7337",
            "fax_number": "412-366-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIR",
        "first_name": "PAMELA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD087948E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011304670012",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pclair97150@direct.ahn.org",
            "affiliation": "N",
            "address_1": "9795 Perry Hwy Ste 100",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150909700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.