A R Clemons, MD, PC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

2006-01145 Issued in NC

Legal business name

A R CLEMONS, MD, PC

Practice address

1601 Abbey PL Ste 105
Charlotte, NC 28209-3731

Phone

(704) 512-5360

Fax

(704) 512-5080

NPI assigned

Sep 10, 2007

Last updated

Jul 19, 2010By 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

Dr. Alison R Clemons, MDNPI 1285779405

Title

Proprietor

Phone

(704) 519-6914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, and the practitioner matching its NPPES authorized official.

• Alison Ruwet Clemons, MD

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1285779405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1306031620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 FAIRVIEW RD # 146",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093731",
            "telephone_number": "704-512-5360",
            "fax_number": "704-512-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A R CLEMONS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "704-519-6914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "2006-01145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.