Scott C. Claycomb, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C7907 Issued in AR

Legal business name

SCOTT C. CLAYCOMB, M.D., P.A.

Practice address

301 Highway 425 S
Monticello, AR 71655-4611

Phone

(870) 367-8534

Fax

(870) 367-0264

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott C Claycomb, M.D.NPI 1083610505

Title

President

Phone

(870) 367-8534

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott C Claycomb, MD

  • Ophthalmology Physician
  • Monticello, AR
  • NPI 1083610505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1235312737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716710890",
            "telephone_number": "870-367-8534",
            "fax_number": "870-367-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554611",
            "telephone_number": "870-367-8534",
            "fax_number": "870-367-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C. CLAYCOMB, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "CLAYCOMB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-367-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C7907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180024861",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "54339",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128298002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "16703",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Olivia Ross
• Racheal Rucker
• Ronald Russell, QBHP
• Jessica Savage
• Dana Marie Sawyer, FNP-BC
• Daneka Shuntel Scott
• Morgan L Scott, APRN
• Seark Children's Clinic, PLLC
• Seark Eyecare LLC
• Seark Smiles Family Dentistry LLC

• Ophthalmology Physician in Monticello, AR
• Providers in Monticello, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.