Clay Township Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLAY TOWNSHIP CLINIC LLC

Practice address

50795 Indiana State Route 933
South Bend, IN 46637-2050

Phone

(574) 272-7500

Fax

(574) 272-2291

NPI assigned

Dec 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Paul Eichorst, D.O.

Title

Owner

Phone

(574) 272-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Marie Moore-Riesbeck, D.O.

  • Family Medicine Physician
  • Elkhart, IN
  • NPI 1215090378
  NPD (past)
• Mikhail Vladimir Makovski, M.D.

  • In Vivo & In Vitro Nuclear Medicine Physician
  • Kent, WA
  • NPI 1841338993
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1659555142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50795 INDIANA STATE ROUTE 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372050",
            "telephone_number": "574-272-7500",
            "fax_number": "574-272-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50795 INDIANA STATE ROUTE 933",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372050",
            "telephone_number": "574-272-7500",
            "fax_number": "574-272-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY TOWNSHIP CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "EICHORST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-272-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Clark, RPH
• Sylvan E Clarke, M.D.
• Clarkson Mobility 24/7/365 LLC.
• Robert W Clausen, MD
• Clay Civil Township
• David Lee Clayton, M.D.
• Robert E. Clemency Jr., M.D.
• Alexia Renee Clements
• Ivan Ross Clements
• Elaine Clemons

• Family Medicine Physician in South Bend, IN
• Providers in South Bend, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.