Herman Shermaine Clincy Jr., HEALH SERVICES TECH

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

2200 Bergquist Dr., Suite 1
Lackland AFB, TX 78236-5301

Phone

(210) 645-0578

Fax

(210) 292-6845

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902988314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR., SUITE 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365301",
            "telephone_number": "210-645-0578",
            "fax_number": "210-292-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR., SUITE 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365301",
            "telephone_number": "210-645-0578",
            "fax_number": "210-292-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINCY",
        "first_name": "HERMAN",
        "middle_name": "SHERMAINE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "HEALH SERVICES TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Clark Cheatum, R. PH.
• John D. Childs, PT, PHD, OCS, FAAOMP
• Craig J Christenson, D.P.M.
• Shanequia Deshawn Clemons
• Christianne Michelle Clifford, D.O.
• Christopher D. Cline, LCSW
• Margaret Bonnie Cole, PHARM.D.
• Michael J Conlan, D.D.S.
• Arturo Lopez Contreras, RPH
• Ian E Coon, IDMT

• Other Technician in Lackland AFB, TX
• Providers in Lackland AFB, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.