Clinton Pickett, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

1999140362 Issued in MO

Practice address

1500 State St
Lexington, MO 64067-1107

Phone

(660) 259-6899

Fax

(660) 259-6819

NPI assigned

Feb 27, 2006

Last updated

Mar 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Midwest Division - LRHC LLC

  dba Lafayette Regional Health Center

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1639362460
  Medicare reassignment NPD
• Poplar Bluff Hma Physician Management, LLC

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1598710147

  Orthopaedic Surgery

  Medicare reassignment NPD
• John Fitzgibbon Memorial Hospital Inc

  dba Marshall Orthopedic and Sports Medicine

  • Clinic/Center
  • Marshall, MO
  • NPI 1285650176
  Medicare reassignment
• John Fitzgibbon Memorial Hospital, Inc.

  dba Marshall Emergency Physicians

  • Emergency Care Clinic/Center
  • Marshall, MO
  • NPI 1558388173
  NPD
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1447226790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 STATE ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671107",
            "telephone_number": "660-259-6899",
            "fax_number": "660-259-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 STATE ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671107",
            "telephone_number": "660-259-6899",
            "fax_number": "660-259-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "1999140362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylee Janae Moss
• Maria Jean Mulvey
• Julie Ann O'Donnell, LP
• Avery Lynn Pack, M.S.,CCC-SLP
• Monika Patel
• Lea Rich, D.D.S
• William David Rich, DDS
• Riverbend Heights Health & Rehabilitation LLC
• Samuel U. Rodgers Health Center, Inc (Samuel U. Rodgers Health Center Lexington High School)
• Samuel U. Rodgers Health Center, Inc. (Rodgers Lafayette Dental and Health)

• Orthopaedic Surgery Physician in Lexington, MO
• Providers in Lexington, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.