Organization Active NPI

Clear View Radiology, PLLC

  • Diagnostic Radiology Physician
  • Fort Smith, AR
National Provider Identifier
1194590059
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CLEAR VIEW RADIOLOGY, PLLC
Practice address
5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone
(479) 452-9416
NPI assigned
Nov 21, 2023
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
John FairclothNPI 1578982526
Title
DO
Phone
(479) 452-9416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435

Mailing address

5707 Jenny Lind Rd
Fort Smith, AR 72908-7435
Phone (479) 452-9416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240725001489 AR Part B Supplier - Clinic/Group Practice 1850837964 Receives reassigned benefits from 31 practitioners
Practice locations: Mountain Home, AR; Mountain View, AR; Pine Bluff, AR; Salem, AR; Searcy, AR; Sherwood, AR; Yellville, AR; Calico Rock, AR…
O20250421001090 OK Part B Supplier - Clinic/Group Practice 1850837964 Receives reassigned benefits from 24 practitioners
Practice locations: Blackwell, OK; Oklahoma City, OK; Perry, OK; Stillwater, OK; Yukon, OK
O20260305002380 MS Part B Supplier - Clinic/Group Practice 1850837964 Receives reassigned benefits from 11 practitioners
Practice locations: Oxford, MS

National Provider Directory

National Provider Directory

Locations

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1194590059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087435",
            "telephone_number": "479-452-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VIEW RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "479-452-9416"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.