Organization Active NPI

Clarksdale Regional Physicians, LLC

Doing business as Clarksdale Physicians Services

  • Cardiovascular Disease Physician
  • Clarksdale, MS
National Provider Identifier
1396233755
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLARKSDALE REGIONAL PHYSICIANS, LLC
Doing business as
Clarksdale Physicians Services
Practice address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone
(662) 624-3401
NPI assigned
May 1, 2018
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Steve Clapp
Title
President
Phone
(865) 269-4074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1970 Hospital Dr
Clarksdale, MS 38614-7202

Mailing address

1721 Midpark Rd # B200
Knoxville, TN 37921-5977

Other names 1

  • Clarksdale Physicians Services Doing business as

National Provider Directory

National Provider Directory

Locations

785 Ohio Ave
Clarksdale, MS 38614
Phone (662) 351-0702

785 Ohio Ave
Ste 3D
Clarksdale, MS 38614
Phone (662) 621-1915

785 Ohio Ave
Ste 3G
Clarksdale, MS 38614
Phone (662) 624-5026

1721 Midpark Rd
#B200
Knoxville, TN 37921

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1396233755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MIDPARK RD # B200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-624-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSDALE REGIONAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-269-4074"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksdale Physicians Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarksdale Physicians Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.