Clayton D Lanphear III, D.O.
Individual provider Active NPI Family Medicine Physician · Chepachet, RI
NPI 1609950831 · NPPES record last updated Sep 11, 2008
Key facts
- NPI
- 1609950831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO272 (RI)
- Practice address
- 1133 Main St
Chepachet, RI 02814 - Phone
- (401) 568-6658
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO272 | RI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO272 | RI | Yes |
Addresses
Primary practice location
1133 Main St
Chepachet, RI 02814
Mailing address
1133 Main St
PO Box Q
Chepachet, RI 02814
Phone (401) 568-6658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9003608 | Medicaid | RI | |
| 050391083 | Other | RI | UHC |
| 3608-1 | Other | BCBS |
Other providers in Chepachet, RI
- Abby Jacobson
- Danielle Jacquart
- Michael C Klein
- Carol E. Knight
- Lisa Marie Lamontagne
- Linda Marie Mobriant
- Linda Montminy
- Ann Mulligan
- Pamela Murgo
- Kimberly Catherine O'Connell
All providers in Chepachet, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.