Clear Med Provider Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC005951 Issued in PA

Legal business name

CLEAR MED PROVIDER CORPORATION

Practice address

820 Turnpike Ave
Clearfield, PA 16830-1233

Phone

(814) 765-2006

Fax

(814) 765-8807

NPI assigned

Jul 29, 2009

Last updated

Aug 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CLEARFIELD HOSPITALAs reported in NPPES

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

Authorized official

Name

Rita V Olszewski

Title

Clear Med Administrator

Phone

(814) 768-2356

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clear Med Podiatry Other name

Part of

Clearfield Hospital Ane

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1477784106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301232",
            "telephone_number": "814-768-2356",
            "fax_number": "814-768-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301233",
            "telephone_number": "814-765-2006",
            "fax_number": "814-765-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED PROVIDER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARFIELD HOSPITAL",
        "enumeration_date": "2009-07-29",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "OLSZEWSKI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CLEAR MED ADMINISTRATOR",
        "authorized_official_telephone_number": "814-768-2356"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK ASSIGNMENT ACCOUNT",
            "identifier": "2125484",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Med Podiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clear Med Provider Corporation
• Clear Med Provider Corporation (Clear Med Hospitalist Program)
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear-Care Corporation

• Foot & Ankle Surgery Podiatrist in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.