Theodore William Clair, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

007687EMD Issued in PA

Practice address

864 County Line Rd
Glenbrook Medical BLDG
Bryn Mawr, PA 19010

Phone

(610) 525-0560

Fax

(610) 527-8683

NPI assigned

Jun 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487693107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "address_2": "GLENBROOK MEDICAL BLDG",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-0560",
            "fax_number": "610-527-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "address_2": "GLENBROOK MEDICAL BLDG",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-0560",
            "fax_number": "610-527-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIR",
        "first_name": "THEODORE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "007687EMD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Cionci, R.PH.
• Cirillo Center for Plastic Surgery
• Victoria Ann Cirillo-Hyland, MD
• Natalie Claffey
• Michael Clair, M.D.
• Courtney Clark
• McKenzie Clark
• Cheryl Elizabeth Clarkin, MD
• Stanley Clawar, PH.D., C.C.S.
• Claytor Plastic Surgery, Inc (Claytor Noone Plastic Surgery)

• Pediatrics Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.