David P. Clemens, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 60137713 Issued in WA

Practice address

12360 Lake City Way NE
Seattle, WA 98125-5447

Phone

(206) 384-4382

Fax

(206) 440-3137

NPI assigned

Aug 18, 2005

Last updated

Dec 1, 2010By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

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 Medicine

State licenses

Practice roles

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.

• Affordable Quality Healthcare, LLC

  dba Affordable Quality Care

  • Family Nurse Practitioner
  • Norman, OK
  • NPI 1194899732
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1558353227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 111TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046308",
            "telephone_number": "425-502-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 LAKE CITY WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255447",
            "telephone_number": "206-384-4382",
            "fax_number": "206-440-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "DAVID",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "MD11783",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 60137713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080085487",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731297740002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA EDI",
            "identifier": "5300256",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Elise Clee, CNM, WHNP
• William Ryan Cleek, M.D.
• Cynthia A Clegg, RPH
• Nathan W Clem, DC
• Adam Lynn Clemans, PHARMD
• Elise Marie Clemens, MD
• Elizabeth Anne Clemens, P.T.
• Evan Casey Clemens, PHARM.D.
• Glenda Jean Clemens, ARNP
• Clement & Teel PS Corporation

• Family Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.