Active NPI
David H Clements, PA-C
- Physician Assistant
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-500
- Practice address
- 4424 E Flamingo Ave
Suite 110
Nampa, ID 83687 - Phone
- (208) 288-4700
- Fax
- (208) 288-4720
- NPI assigned
- Oct 21, 2005
- Last updated
- Oct 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA500 | ID | |
| Physician Assistant | 363A00000X | PA-500 | ID | Primary |
Addresses
Primary practice location
4424 E Flamingo Ave
Suite 110
Nampa, ID 83687
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-5170
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806955800 | Medicaid | ID | |
| P00159990 | Other | ID | RAILROAD MEDICARE |
| 000010147756 | Other | ID | BLUE SHIELD |
| PANY9 | Other | ID | BLUE CROSS |
| PANZY7 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4842 N Cortona Way
Suite 105
Meridian, ID 83646-3171
Phone (208) 855-2410
7979 W Rifleman St
Boise, ID 83704-9066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA500 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Orthopaedics LLC | Current | Accepting new patients | |
| Allied Orthopaedics LLC | Current | Accepting new patients | |
| Northwestern Neurological Assoc PC | Physician Assistant | Past | Accepting new patients |
Locations
7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000
7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133
3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567
16818 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 321-4000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1750563540
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1336816909
-
- Neurological Surgery Physician
- Portland, OR
- NPI 1447223466
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Boise, ID
- NPI 1720040132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1114917168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 E FLAMINGO AVE",
"address_2": "SUITE 110",
"city": "NAMPA",
"state": "ID",
"postal_code": "83687",
"telephone_number": "208-288-4700",
"fax_number": "208-288-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "DAVID",
"middle_name": "H",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA500",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806955800",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00159990",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010147756",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PANY9",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PANZY7",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.