Edwin L Clonts, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0522 Issued in MP

Practice address

Kulot Di Rosa Dr. Chalan Kiya
Health Professional Corporation
Saipan, MP 96950-2878

Phone

(670) 234-2901

Fax

(670) 234-2906

NPI assigned

Dec 30, 2005

Last updated

Sep 12, 2012By 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

Medicare fee-for-service enrollment

Enrolled in MP

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.

• Health Professional Corporation

  dba Saipan Health Clinic

  • Health Service Clinic/Center
  • Saipan, MP
  • NPI 1366467110
  Medicare reassignment NPD
• St. Jude Renal Care Facility, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1093769739
  NPD (past)
• Astera Health

  dba Astera Health Wadena Clinic

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162
  NPD (past)
• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1619955549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502878",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502878",
            "telephone_number": "670-234-2901",
            "fax_number": "670-234-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KULOT DI ROSA DR. CHALAN KIYA",
            "address_2": "HEALTH PROFESSIONAL CORPORATION",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502878",
            "telephone_number": "670-234-2901",
            "fax_number": "670-234-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONTS",
        "first_name": "EDWIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "23309",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MP",
            "license": "0522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardinal Healthcare Management Corporation
• Cardinal Healthcare Management Corporation (Cardinal Home Health and Hospice)
• Pamela Ann Carhill, MPT
• Joseph Fabian Chagoya, PA-C
• Ashebir Chekol, M.D.
• Jin Han Cody, CNM
• Mary Rose Albis Colting, PT
• Commonwealth Healthcare Corporation
• Commonwealth Healthcare Corporation (Kagman Community Health Center)
• Commonwealth Healthcare Corporation (CHCC Dental Clinic)

• Family Medicine Physician in Saipan, MP
• Providers in Saipan, MP by specialty
• Family Medicine Physician in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.