Individual provider Active NPI

Clifford James Neal, DO

  • Emergency Medicine Physician
  • Altoon, PA
National Provider Identifier
1386690097
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DS007295E Issued in PA
Practice address
620 Howard Ave
Altoona Regional Health System Dept of Emergency Medici
Altoon, PA 16601-4899
Phone
(814) 889-2866
Fax
(814) 889-6785
NPI assigned
May 25, 2006
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DS007295E PA Primary
Pediatrics Physician 208000000X DS007295E PA

Addresses

Primary practice location

620 Howard Ave
Altoona Regional Health System Dept of Emergency Medici
Altoon, PA 16601-4899

Mailing address

620 Howard Ave
Altoona Regional Health System
Altoon, PA 16601-4899
Phone (814) 889-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DS007295EPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1386690097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "address_2": "ALTOONA REGIONAL HEALTH SYSTEM",
            "city": "ALTOON",
            "state": "PA",
            "postal_code": "166014899",
            "telephone_number": "814-889-2866",
            "fax_number": "814-889-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "address_2": "ALTOONA REGIONAL HEALTH SYSTEM DEPT OF EMERGENCY MEDICI",
            "city": "ALTOON",
            "state": "PA",
            "postal_code": "166014899",
            "telephone_number": "814-889-2866",
            "fax_number": "814-889-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "CLIFFORD",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "DS007295E",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "DS007295E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.