Individual provider Active NPI

Clair Barton Anderson Jr., PA

  • Medical Physician Assistant
  • Caliente, NV
National Provider Identifier
1982933040
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1188 Issued in NV
Practice address
700 North Spring Street
Caliente, NV 89008-1010
Phone
(775) 726-3171
Fax
(775) 726-3797
NPI assigned
Dec 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1188 NV Primary

Addresses

Primary practice location

700 North Spring Street
Caliente, NV 89008-1010

Mailing address

700 North Spring Street
P O Box 1010
Caliente, NV 89008-1010
Phone (775) 726-3171

Other identifiers 1

IdentifierTypeStateIssuer
PA1188OtherNVNEVADA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000646 NV Practitioner - Physician Assistant 2567504723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln County Hospital DistrictGroup PAC ID 2163408246, 11 clinicians

Practice addresses (Care Compare)

700 N Spring St
Caliente, NV 89008-1010
Phone 7757263171012

PO Box
Suite 1010
Caliente, NV 89008

PO Box
Suite 1010
Caliente, NV 89008-1010

Hospital & facility affiliations

  • Grover C Dils Medical Center Hospital, Caliente, NV, CCN 291312
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital District CurrentSince Dec 1, 2009 Accepting new patients
Lincoln County Hospital District Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1982933040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTH SPRING STREET",
            "address_2": "P O BOX 1010",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081010",
            "telephone_number": "775-726-3171",
            "fax_number": "775-726-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH SPRING STREET",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081010",
            "telephone_number": "775-726-3171",
            "fax_number": "775-726-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLAIR",
        "middle_name": "BARTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-18",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LICENSE",
            "identifier": "PA1188",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caliente, NV

Sources for this page

Verify at the official NPI Registry.