Active NPI
Clifton Health Systems LLC
- Family Medicine Physician
- Rockford, IL
National Provider Identifier
1396291324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD037774
- Legal business name
- CLIFTON HEALTH SYSTEMS LLC
- Practice address
- 973 Featherstone Rd
Suite 340
Rockford, IL 61107-5912 - Phone
- (202) 422-4824
- NPI assigned
- Aug 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Guy Lynn Clifton, M.D.
- Title
- Ceo
- Phone
- (202) 422-4824
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD037774 | DC | Primary |
Addresses
Primary practice location
973 Featherstone Rd
Suite 340
Rockford, IL 61107-5912
Mailing address
2825 McGill Ter NW
Washington, DC 20008-2749
Phone (202) 422-4824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD037774 | Other | DC | LICENSE NUMBER |
Other names 1
- ACTIN Care Groups
National Provider Directory
National Provider Directory- Tax ID family
- Actin Care Groups
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Rockford, IL
- NPI 1255788113
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Washington, DC
- NPI 1366994576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472515200000",
"number": "1396291324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 MCGILL TER NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082749",
"telephone_number": "202-422-4824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "973 FEATHERSTONE RD",
"address_2": "SUITE 340",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075912",
"telephone_number": "202-422-4824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFTON HEALTH SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A",
"authorized_official_last_name": "CLIFTON",
"authorized_official_first_name": "GUY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-422-4824",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "DC",
"license": "MD037774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "MD037774",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACTIN Care Groups",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.