Clear Water Health, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CLEAR WATER HEALTH, PC

Practice address

4 Park PLZ
Wyomissing, PA 19610-1398

Phone

(610) 546-2336

Fax

(484) 328-6589

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kortney R West, MDNPI 1770840563

Title

Owner

Phone

(337) 654-1476

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kortney West, MD

  • Pediatrics Physician
  • Wyomissing, PA
  • NPI 1770840563
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1851051098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OLD MILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101398",
            "telephone_number": "610-546-2336",
            "fax_number": "484-328-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATER HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KORTNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-654-1476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Clair, R.D.
• Claire Malfaro Counseling and Consulting, LLC
• Adrienne Clark Marino, LPC
• Kristen Clark, RD
• Jenny B Clay, MA, LPC
• Clear Water Wellness LLC
• David William Clewell
• Clinical Pain Management Associates, PC
• Clinical Research Center of Reading, LLC
• Tracy Nicole Clouser, CRNP

• Pediatrics Physician in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.