Active NPI
Clearfield Hospital
- Emergency Medicine Physician
- Clearfield, PA
National Provider Identifier
1902840481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 291301
- Legal business name
- CLEARFIELD HOSPITAL
- Practice address
- 809 Turnpike Ave
Clearfield, PA 16830-1232 - Phone
- (814) 765-5341
- Fax
- (814) 768-2344
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Macioce
- Title
- President
- Phone
- (814) 768-2497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 291301 | PA | Primary |
Addresses
Primary practice location
809 Turnpike Ave
Clearfield, PA 16830-1232
Mailing address
809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 765-5341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001608417 | Other | PA | HIGHMARK BC/BS |
| 001608417 | Other | PA | HIGHMARK ID, FPA ACCOUNT |
Other names 1
- Emergency Room
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1902840481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301232",
"telephone_number": "814-765-5341",
"fax_number": "814-768-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168301232",
"telephone_number": "814-765-5341",
"fax_number": "814-768-2344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARFIELD HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "MACIOCE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-768-2497",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "PA",
"license": "291301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "001608417",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK ID, FPA ACCOUNT",
"identifier": "001608417",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Emergency Room",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.