Clifton Jarrett Prince, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35083418 Issued in OH

Practice address

401 Lincoln Park Drive
New Lexington, OH 43764

Phone

(740) 342-5107

Fax

(740) 342-5351

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hardin Memorial Hospital Hospital, Kenton, OH, CCN 361315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment Care Compare group NPD
• Ohio Emergency Professionals Inc

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1982983425
  Medicare reassignment NPD
• Madison Emergency Physicians Inc

  • Emergency Medicine Physician
  • London, OH
  • NPI 1720089766
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hardin Memorial Hospital

  • Critical Access Hospital
  • Kenton, OH
  • NPI 1437181518
  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1154313203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "43764",
            "telephone_number": "740-342-5107",
            "fax_number": "740-342-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LINCOLN PARK DRIVE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "43764",
            "telephone_number": "740-342-5107",
            "fax_number": "740-342-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "CLIFTON",
        "middle_name": "JARRETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35083418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432924",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry County Ohio
• Perry-Hocking Educational Service Center
• Elizabeth Ann Pingle, R.D., L.D.
• April Jeanette Poling, L.P.N.
• Emily Poling
• Timothy Stewart Ratliff
• Julia Reed, LPN
• Anthony E Reichley, MD
• Elinor Louise Renick, R.N.
• Residential Inc

• Family Medicine Physician in New Lexington, OH
• Providers in New Lexington, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.

Verify at the official NPI Registry.