NPIMap

Organization Active NPI

Clearfield Hospital

  • Emergency Medicine Physician
  • Clearfield, PA
National Provider Identifier
1063456531
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
291301 Issued in PA
Legal business name
CLEARFIELD HOSPITAL
Practice address
809 Turnpike Ave
Clearfield, PA 16830-1232
Phone
(814) 765-5341
Fax
(814) 768-2344
NPI assigned
Jun 15, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Mr. Gary Macioce
Title
President
Phone
(814) 768-2497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 291301 PA Primary

Addresses

Primary practice location

809 Turnpike Ave
Clearfield, PA 16830-1232

Mailing address

809 Turnpike Ave
P.O. Box 992
Clearfield, PA 16830-1232
Phone (814) 765-5341

Other identifiers 1

IdentifierTypeStateIssuer
002684486OtherPAHIGHMARK BCBS ASSIGNMENT ACCOUNT

Other names 1

  • Emergency Room Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1063456531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 TURNPIKE AVE",
            "address_2": "P.O. BOX 992",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301232",
            "telephone_number": "814-765-5341",
            "fax_number": "814-768-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301232",
            "telephone_number": "814-765-5341",
            "fax_number": "814-768-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFIELD HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MACIOCE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-768-2497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "291301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS ASSIGNMENT ACCOUNT",
            "identifier": "002684486",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Room",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.