Active NPI
Donald F. Clukies, M.D.
- Plastic Surgery Physician
- Fall River, MA
National Provider Identifier
1881619013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 45581
- Practice address
- 300 Hanover St
Suite 1-a
Fall River, MA 02720-5444 - Phone
- (508) 567-3202
- Fax
- (508) 678-1537
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 45581 | MA | Primary |
Addresses
Primary practice location
300 Hanover St
Suite 1-a
Fall River, MA 02720-5444
Mailing address
300 Hanover St
Suite 1-a
Fall River, MA 02720-5444
Phone (508) 567-3202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45581 | MA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery of Southern New England, P.C. | Past | Accepting new patients |
Interoperability endpoints
- dclukies19911@direct.southcoast.org
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.
-
- Ambulatory Surgical Clinic/Center
- Fall River, MA
- NPI 1871303602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1881619013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HANOVER ST",
"address_2": "SUITE 1-A",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205444",
"telephone_number": "508-567-3202",
"fax_number": "508-678-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HANOVER ST",
"address_2": "SUITE 1-A",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205444",
"telephone_number": "508-567-3202",
"fax_number": "508-678-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUKIES",
"first_name": "DONALD",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MA",
"license": "45581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.