Active NPI
Courtney James Clawson, DO
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 009664
- Practice address
- 1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766 - Phone
- (480) 882-7370
- Fax
- (480) 649-2832
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 009664 | AZ | Primary |
Addresses
Primary practice location
1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766
Mailing address
1124 E McKellips Rd Ste 110
Mesa, AZ 85203-2766
Phone (480) 882-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1124 E McKellips Rd
Suite 110
Mesa, AZ 85203-2766
Phone (855) 485-4673
Hospital & facility affiliations
- Honorhealth Scottsdale Osborn Medical Center
- Honor Health John C. Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009664 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Locations
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509
10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
Interoperability endpoints
- cclawson187461@direct.honorhealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1689336935
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1679876601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1780147553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 E MCKELLIPS RD STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852032766",
"telephone_number": "480-882-7370",
"fax_number": "480-649-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 E MCKELLIPS RD STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852032766",
"telephone_number": "480-882-7370",
"fax_number": "480-649-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "COURTNEY",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "009664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.