Individual provider Active NPI

Clarence B May II, MD

  • Diagnostic Radiology Physician
  • Kennewick, WA
National Provider Identifier
1871694059
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25265 Issued in WA
Practice address
7221 W Deschutes Ave
Suite a
Kennewick, WA 99336-7807
Phone
(509) 374-4030
Fax
(509) 374-8690
NPI assigned
Sep 26, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25265 WA Primary

Addresses

Primary practice location

7221 W Deschutes Ave
Suite a
Kennewick, WA 99336-7807

Mailing address

7221 W Deschutes Ave
Suite a
Kennewick, WA 99336-7807
Phone (509) 374-4030

Other identifiers 1

IdentifierTypeStateIssuer
8134728MedicaidWA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25265WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennewick Public Hospital District Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1871694059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 W DESCHUTES AVE",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367807",
            "telephone_number": "509-374-4030",
            "fax_number": "509-374-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W DESCHUTES AVE",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367807",
            "telephone_number": "509-374-4030",
            "fax_number": "509-374-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "CLARENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "25265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8134728",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.