Clive Levine, M.D.
Individual provider Active NPI General Practice Physician · Santa Fe, NM
NPI 1275976284 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1275976284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- R8936 (MO)
- Practice address
- 508 Los Nidos Dr
Santa Fe, NM 87501-8356 - Phone
- (505) 989-3790
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | R8936 | MO | Yes |
Addresses
Primary practice location
508 Los Nidos Dr
Santa Fe, NM 87501-8356
Mailing address
508 Los Nidos Dr
Santa Fe, NM 87501-8356
Phone (505) 989-3790
Other providers in Santa Fe, NM
- Barri J Lester
- Terry L Lester
- Gina Marie Letizia
- Lee S Levin
- Louis Richard Levin
- Harriet Levine
- Jacqueline Zeller Levine
- Rhona Sandra Levine
- Aviva Levy Faust
- Molly Marie Levy
All providers in Santa Fe, NM · General Practice Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.