Individual provider Active NPI

Clayton Scott Lower

  • Case Manager/Care Coordinator
  • Newark, OH
National Provider Identifier
1780225334
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
112 S 3Rd St
Newark, OH 43055-5335
Phone
(740) 345-6246
Fax
(740) 345-3697
NPI assigned
Oct 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

112 S 3Rd St
Newark, OH 43055-5335

Mailing address

25409 Township Road 249
Fresno, OH 43824-9715
Phone (330) 556-8024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Main Place, Inc. CurrentSince Oct 6, 2019 Accepting new patients

Locations

112 S 3rd St
Newark, OH 43055
Phone (740) 345-6246

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/themainplace/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1780225334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25409 TOWNSHIP ROAD 249",
            "city": "FRESNO",
            "state": "OH",
            "postal_code": "438249715",
            "telephone_number": "330-556-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S 3RD ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430555335",
            "telephone_number": "740-345-6246",
            "fax_number": "740-345-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWER",
        "first_name": "CLAYTON",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.