Martin C. Clowse, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2005-00985 Issued in NC

Practice address

5107 Southpark Dr
Suite 104
Durham, NC 27713-8400

Phone

(919) 477-6900

Fax

(919) 544-6210

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1821147836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602362",
            "telephone_number": "919-477-6900",
            "fax_number": "919-544-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 SOUTHPARK DR",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138400",
            "telephone_number": "919-477-6900",
            "fax_number": "919-544-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWSE",
        "first_name": "MARTIN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901690",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Ellen Close, LCSW
• Lucile Clotfelter, M.D.
• Brian P Clougherty, M.A., M.DIV., LPC
• Christopher Higgins Clougherty, PH.D
• Kristopher Lueron Clounch, PH.D.
• Megan Clowse
• Stephanie Diana Clune, AGACNP-BC
• CNC / Access Inc.
• CNC / Access Inc.
• CNC / Access, Inc.

• Internal Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.