Active NPI
Hermann Peter Valentine Claussen III, MD
- Diagnostic Radiology Physician
- Oak Ridge, TN
National Provider Identifier
1053371674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29823
- Practice address
- 990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976 - Phone
- (865) 481-1162
- Fax
- (865) 481-1863
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29823 | TN | Primary |
Addresses
Primary practice location
990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Mailing address
PO Box 11105
Knoxville, TN 37939-1105
Phone (865) 588-2928
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4057801 | Other | TN | BC/BS OF TN |
| 64062391 | Medicaid | KY | |
| 3852824 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29823 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Imaging & Therapeutics, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging Associates of Oak Ridge PC | Diagnostic Radiology | Past | Accepting new patients |
| Alabama Coastal Radiology, PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
-
- Diagnostic Radiology Physician
- Oak Ridge, TN
- NPI 1245290857
-
- Specialist
- Mobile, AL
- NPI 1093796781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1053371674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11105",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379391105",
"telephone_number": "865-588-2928",
"fax_number": "865-450-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 OAK RIDGE TPKE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306976",
"telephone_number": "865-481-1162",
"fax_number": "865-481-1863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSSEN",
"first_name": "HERMANN",
"middle_name": "PETER VALENTINE",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "29823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TN",
"identifier": "4057801",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64062391",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3852824",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.