John W Clemens, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11663 Issued in MO

Practice address

2701 W Edgewood Dr
Suite 101
Jefferson City, MO 65109-5889

Phone

(573) 634-5303

Fax

(573) 761-6888

NPI assigned

Jun 12, 2006

Last updated

Apr 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. John W Clemens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1285676338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 BALD HILL RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013810",
            "telephone_number": "573-634-7437",
            "fax_number": "573-761-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W EDGEWOOD DR",
            "address_2": "SUITE 101",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095889",
            "telephone_number": "573-634-5303",
            "fax_number": "573-761-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "11663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203831102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CLEMENS",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Lynn Clark, PT
• Mary Elizabeth Clark
• Lucia Clarke, DC
• Claypool Obstetrics and Gynecology LLC
• Casey Claypool, MHS, CF-SLP
• Melissa Victoria Clemons, DC
• Grace Clere
• Michelle R Cline, OTR
• Torey Clogston, DPT
• CMMP Surgical Center LLC

• Psychiatry Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.