Courtney C Clifton, M.D.
Individual provider Active NPI Anesthesiology Physician · Topeka, KS
NPI 1801891718 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801891718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2004006661 (MO)
- Practice address
- 634 SW Mulvane St
Suite 105
Topeka, KS 66606-1678 - Phone
- (785) 295-8149
- Fax
- (785) 295-5529
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle Health Care Incorporated
Practice addresses (Care Compare)
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140604000405 | IL | Practitioner - Anesthesiology | 7416923032 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Services Medical Group of Topeka, PA | Past | Accepting new patients | |
| Pain Management Associates of Topeka | Anesthesiology | Past | Accepting new patients |
Locations
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2004006661 | MO | Yes |
Addresses
Primary practice location
634 SW Mulvane St
Suite 105
Topeka, KS 66606-1678
Mailing address
634 SW Mulvane St
Suite 105
Topeka, KS 66606-1678
Phone (785) 295-8149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209420108 | Medicaid | MO |
Other providers in Topeka, KS
- Amy Clements
- Thomas Ira Clements
- Gary Cleverdon
- Richard Allen Clift Jr.
- Brandi Jo Clifton
- Michele D Clifton
- Robert Alan Clifton
- Robert O Clifton
- Steven C Clifton
- Megan Cline
All providers in Topeka, KS · Anesthesiology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.