Active NPI
Wayne Gary Clough, D.C.
- Chiropractor
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 07206520481A
- Practice address
- 100 Islington St
Suite # 7
Portsmouth, NH 03801-4263 - Phone
- (603) 436-9229
- Fax
- (603) 430-8458
- NPI assigned
- Oct 4, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 07206520481A | NH | Primary |
Addresses
Primary practice location
100 Islington St
Suite # 7
Portsmouth, NH 03801-4263
Mailing address
100 Islington St
Suite # 7
Portsmouth, NH 03801-4263
Phone (603) 436-9229
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8503892 | Other | NH | CIGNA |
| NA1558 | Other | NH | HARVARD PILGRIM |
| 0508694Y0NH01 | Other | NH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080228000651 | NH | Practitioner - Chiropractic | 8820172885 | Practice locations: Portsmouth, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Islington St
Portsmouth, NH 03801-4263
Phone (603) 436-9229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07206520481A | NH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Atlantic Physical Therapy & Weightloss Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Portsmouth, NH
- NPI 1235439852
-
- Physical Therapist
- Portsmouth, NH
- NPI 1033497516
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
dba Moultonborough Family Medicine
- Family Medicine Physician
- Moultonborough, NH
- NPI 1639166077
Hospital
-
dba Alton Family Medicine
- Family Medicine Physician
- Alton, NH
- NPI 1871534792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1558358515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ISLINGTON ST",
"address_2": "SUITE # 7",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014263",
"telephone_number": "603-436-9229",
"fax_number": "603-430-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ISLINGTON ST",
"address_2": "SUITE # 7",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014263",
"telephone_number": "603-436-9229",
"fax_number": "603-430-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "WAYNE",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "07206520481A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8503892",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "NA1558",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0508694Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.