Clarisse D. Clemons Ferrara, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

150089 Issued in NY

Practice address

9 Castle Hill Rd
Pawcatuck, CT 06379-1958

Phone

(860) 303-9000

Fax

(860) 599-3479

NPI assigned

Apr 20, 2007

Last updated

Apr 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Screening Centers Inc

  • Emergency Medicine Physician
  • Pawcatuck, CT
  • NPI 1982929816
  NPD (past) Authorized official
• The Physicians Clemons Ferrara PC

  • General Practice Physician
  • Pawcatuck, CT
  • NPI 1285839506
  NPD (past)
• Galaxy Medical PC

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1487940938

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270944000000",
    "number": "1265659916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CASTLE HILL RD",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063791978",
            "telephone_number": "860-303-9000",
            "fax_number": "860-599-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CASTLE HILL RD",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063791958",
            "telephone_number": "860-303-9000",
            "fax_number": "860-599-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS FERRARA",
        "first_name": "CLARISSE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "150089",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "048178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "048178",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "150089-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child and Family Agency of Southeastern Connecticut, Inc.
• Child and Family Agency of Southeastern Connecticut, Inc.
• Child and Family Agency of Southeastern Connecticut, Inc. (West Vine Elementary)
• Child and Family Agency of Southeastern Connecticut, Inc. (Stonington High School)
• Mary Chutjian, LCSW
• Sean Andrew Colsen, DPM
• Vickie Lou Cummings, MS
• Dynamic Physical Therapy LLC
• Mercy Etzel, RN
• Kristen Fernandez, RN

• Emergency Medicine Physician in Pawcatuck, CT
• Providers in Pawcatuck, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.