Clear Path Clinic SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLEAR PATH CLINIC SC

Practice address

26 Phipps Ave
Rice Lake, WI 54868

Phone

(705) 434-1058

Fax

(715) 434-1068

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert J Abatecola, MDNPI 1669551719

Title

President

Phone

(715) 434-1058

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robert James Abatecola, MD

  • Family Medicine Physician
  • Castro Valley, CA
  • NPI 1669551719
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1215778576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PHIPPS AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "705-434-1058",
            "fax_number": "715-434-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PHIPPS AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "705-434-1058",
            "fax_number": "715-434-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "ABATECOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-434-1058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivas S Chetty, MD
• Chippewa Valley Orthopedics and Sports Medicine Clinic, SC
• Vidya Sagar Reddy Cirra, MD
• City of Rice Lake (Rice Lake Fire Department)
• Ashley Clark, RN
• Zachary Alan Cole, DC
• Renee M Coleman
• Chad Michael Collins, LCSW
• Kimberly Leah Collymore, FNP
• Coram Consulting LLC

• Primary Care Clinic/Center in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.