Active NPI
Michael David Clumpner, PHD(C), MBA, NREMT-P
- Paramedic
- Spartanburg, SC
National Provider Identifier
1982973525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- P039485
- Practice address
- 101 E. Wood Street
Spartanburg, SC 29303 - Phone
- (704) 506-3640
- NPI assigned
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | P039485 | NC | Primary |
| Paramedic | 146L00000X | SC014421 | SC |
Addresses
Primary practice location
101 E. Wood Street
Spartanburg, SC 29303
Mailing address
PO Box 620183
Charlotte, NC 28262-0103
Phone (704) 506-3640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P039485 | NC | MD | Paramedic |
| SC014421 | SC | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1982973525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 620183",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282620103",
"telephone_number": "704-506-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E. WOOD STREET",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "704-506-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLUMPNER",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Prof.",
"credential": "PHD(C), MBA, NREMT-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "NC",
"license": "P039485",
"primary": true
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "SC",
"license": "SC014421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.