Shirley Clouse, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208517-1 Issued in NY

Practice address

35 Barbarossa LN
Kingston, NY 12401-1221

Phone

(845) 338-3737

Fax

(845) 338-3939

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3549/brand/1/csg/1/fhir/r4

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.

• Arc Healthresources of Rockland, Inc.

  • Internal Medicine Physician
  • New City, NY
  • NPI 1154369056

  Family Medicine

  NPD (past)
• Deleo Family Medicine P C

  • Family Medicine Physician
  • Kingston, NY
  • NPI 1770867780
  NPD (past)
• Ulster Family Medicine, LLP

  • Family Medicine Physician
  • Kerhonkson, NY
  • NPI 1861580326
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922048214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BARBAROSSA LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011221",
            "telephone_number": "845-338-3737",
            "fax_number": "845-338-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BARBAROSSA LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011221",
            "telephone_number": "845-338-3737",
            "fax_number": "845-338-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "SHIRLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208517-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "2473P1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "2473P2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "361509",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NORTHEASTERN",
            "identifier": "000498939006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10057418",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02209901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO INSURANCE",
            "identifier": "087314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Clarke, LPN
• Mary Ann Clausson
• Lanny L Cleary, NURSE PRACTITIONER
• Clinical Prosthetics & Orthotics, LLC
• Evdocia Closi
• Alma Jean Cohen, RN BSN
• Bruce Robert Cohen, DDS
• Deborah Cohen, R.N., M.S.
• Gary S Cohen, M.D.
• Joseph K Cohen, OD

• Family Medicine Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.