Clearwater Billing Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35067926 Issued in OH

Legal business name

CLEARWATER BILLING SERVICES LLC

Practice address

195 Wadsworth Rd.
Suite 402
Wadsworth, OH 44281

Phone

(330) 331-7207

Fax

(330) 331-7587

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha L. Thesing

Title

Office Manager

Phone

(330) 331-7207

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1487982112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "BATH",
            "state": "OH",
            "postal_code": "442101243",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD.",
            "address_2": "SUITE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER BILLING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "THESING",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-331-7207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Wadsworth
• Abagail M Clark
• April Dawn Clark, NP
• Diana L. Clarke, PH.D.
• Clear Path Therapy
• CNP Express Care LLC
• Christy Cocklin
• Community Caregivers of Medina County LLC.
• Comprehensive Family Practice of Columbiana LLC
• Johanna Conrad, DDS

• Internal Medicine Physician in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.