Active NPI
Christopher J Clough, PA
- Medical Physician Assistant
- Somersworth, NH
National Provider Identifier
1528087970
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 20, 2020.
- Section 1128b(4) exclusion effective Jun 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0441P
- Practice address
- 255 Route 108
Somersworth, NH 03878-1543 - Phone
- (603) 692-3166
- Fax
- (603) 692-3168
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0441P | NH | Primary |
Addresses
Primary practice location
255 Route 108
Somersworth, NH 03878-1543
Mailing address
255 Route 108
Somersworth, NH 03878-1543
Phone (603) 692-3166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242550099 | Medicaid | ME | |
| 30333037 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0441P | NH | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1528087970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781543",
"telephone_number": "603-692-3166",
"fax_number": "603-692-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781543",
"telephone_number": "603-692-3166",
"fax_number": "603-692-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "0441P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242550099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30333037",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.