David B Cluff, D.O.
Individual provider Active NPI Family Medicine Physician · Payson, AZ
NPI 1881663201 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1881663201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2924 (AZ)
- Practice address
- 7920 W Gibson Ranch Rd
Payson, AZ 85541-3496 - Phone
- (928) 951-0109
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 13, 2024 through Jun 13, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2924 | AZ | Yes |
Addresses
Primary practice location
7920 W Gibson Ranch Rd
Payson, AZ 85541-3496
Mailing address
7920 W Gibson Ranch Rd
Payson, AZ 85541-3496
Phone (928) 951-0109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175605 | Medicaid | AZ |
Other providers in Payson, AZ
- Trevor James Chitwood
- Shanna Leah Christensen
- Christian Alexander DMD PLLC
- Christina M Keszler
- Kelly Cleary-Pulse
- Debra Ann Colbertson
- Community Bridges, Inc
- Community Bridges, Inc.
- Community Bridges, Inc.
- Luis Coppelli
All providers in Payson, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.