Clemensen Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

228650 Issued in NY

Legal business name

CLEMENSEN FAMILY MEDICINE

Practice address

181 S Main St
Suite 5
Canandaigua, NY 14424-1911

Phone

(866) 269-4810

Fax

(866) 269-4810

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott Erik Clemensen, MD

Title

President

Phone

(866) 269-4810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1396947073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BRISTOL ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241656",
            "telephone_number": "866-269-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S MAIN ST",
            "address_2": "SUITE 5",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241911",
            "telephone_number": "866-269-4810",
            "fax_number": "866-269-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENSEN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CLEMENSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-269-4810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "228650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khamkay Chitaphong, LMSW
• Chosen Spot Chiropractic & Wellness PLLC
• Kathleen May Church, DC
• Andrew Cieri, DC
• Kimberley Ann Clark, PT
• Melissa Cleveland, LPN
• John Evis Coda, MD
• Karen F Coffey, RD
• Katherine Coffey
• Shannon M Coholan, RN, BSN

• Primary Care Clinic/Center in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.