Michael Clippard, M.D., FAAP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2000173366 Issued in MO

Practice address

7245 Raider Rd
Bonne Terre, MO 63628-3767

Phone

(573) 358-1400

NPI assigned

Jul 17, 2006

Last updated

Nov 12, 2009By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Emergency Medicine

Education

University of Missouri, Kansas City, School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkland Health Center Hospital, Farmington, MO, CCN 260163
• Parkland Health Center - Bonne Terre Hospital, Bonne Terre, MO, CCN 260779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mclippard244302@direct.carenet.org

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.

• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  MO

  Medicare reassignment Care Compare group NPD
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Farmington, MO
  • NPI 1396760062
  NPD (past)
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Sullivan, MO
  • NPI 1679598247
  NPD (past)
• Dexter Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Dexter, MO
  • NPI 1154365070
  NPD (past)
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital ESRD Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Memphis, TN
  • NPI 1245383355
  NPD (past)
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1114309168
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkland Health Center

  dba Parkland Health Center - Farmington

  • General Acute Care Hospital
  • Farmington, MO
  • NPI 1003824061
  Care Compare affiliation
• Parkland Health Center

  dba Parkland Health Center - Farmington

  • Psychiatric Hospital Unit
  • Farmington, MO
  • NPI 1902814866
  Care Compare affiliation
• Parkland Health Center

  dba Parkland Health Center - Bonne Terre

  • Rural Acute Care Hospital
  • Bonne Terre, MO
  • NPI 1932117173
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1730106287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITT DRIVE",
            "address_2": "LOCKBOX 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751900",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 RAIDER RD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636283767",
            "telephone_number": "573-358-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIPPARD",
        "first_name": "MICHAEL",
        "credential": "M.D., FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "0000031495",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2000173366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204725212",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204725246",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730106287",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Borron, L.M.T.
• Jason Gregory Branham, DC, MA
• April Brannum, FNP-C
• Phillip A. Brewer, MD
• Mary Chandler, AANP
• Glenda Charlene Counts, FNP
• Jessica L Cox, FNP-BC
• Ctr Transportation LLC (Care 2 Ride Transportation)
• Daleco Inc (USA Drug)
• Daniel Oliver Reiter (Reiter Chiropractic)

• Emergency Medicine Physician in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.
• 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.

Verify at the official NPI Registry.