John M Clair DO Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

DO1452 Issued in NV

Legal business name

JOHN M CLAIR DO INC

Practice address

901 Adams Blvd
Boulder City, NV 89005-2213

Phone

(702) 293-4111

NPI assigned

May 23, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Labrecque

Title

Accts MGR

Phone

(702) 453-3799

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1720348725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 N DURANGO DR",
            "address_2": "SUITE 1115-298",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494411",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-293-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M CLAIR DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "DO1452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE",
            "identifier": "DO1452",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Jay Jensen, O.D.
• Jim C Chiang MD LTD
• Hallie Jim
• Joanne Grace Leovy MD LLC
• Elisa Johansson
• Allisa Johnson
• Amanda-Grace Johnson, DNP
• Christian Wesley Johnson, DPT
• Derek Johnson
• Rhonda Devonne Johnson

• Hospitalist Physician in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.