Active NPI
Teresa L Clawson, MD
- Neonatal-Perinatal Medicine Physician
- Winchester, VA
National Provider Identifier
1114917895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 0101053909
- Practice address
- 1840 Amherst St
Ste 4C
Winchester, VA 22601-2808 - Phone
- (540) 536-7897
- Fax
- (540) 536-7843
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 0101053909 | VA | Primary |
Addresses
Primary practice location
1840 Amherst St
Ste 4C
Winchester, VA 22601-2808
Mailing address
PO Box 1910
Winchester, VA 22604-8060
Phone (866) 878-4221
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110415000 | Medicaid | WV | |
| 541855193 | Other | CHIR | |
| 1881983 | Medicaid | PA | |
| 400188500 | Medicaid | MD | |
| 541855193 | Other | MAMSI | |
| 200509800 | Medicaid | IN | |
| 541855193 | Other | ACORDIA | |
| 231639 | Other | BS TRIGON | |
| 006718442 | Medicaid | VA | |
| 231639 | Other | VA | ANTHEM BC/BS |
| 541855193 | Other | CHAMPUS | |
| 120591 | Other | SOUTHERN HEALTH | |
| 541855193 | Other | GWHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140224001160 | VA | Order and Referring Only - Pediatric Medicine | 2062642820 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053909 | VA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neonatology Center of Winchester | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Winchester Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neonatal-Perinatal Medicine Physician
- Winchester, VA
- NPI 1376533810
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1114917895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1910",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226048060",
"telephone_number": "866-878-4221",
"fax_number": "540-536-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 AMHERST ST",
"address_2": "STE 4C",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012808",
"telephone_number": "540-536-7897",
"fax_number": "540-536-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "TERESA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "VA",
"license": "0101053909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110415000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIR",
"identifier": "541855193",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881983",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400188500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "541855193",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200509800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACORDIA",
"identifier": "541855193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS TRIGON",
"identifier": "231639",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006718442",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "231639",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "541855193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "120591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GWHC",
"identifier": "541855193",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.