Mary Klemens MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

431065488 Issued in MI

Legal business name

MARY KLEMENS MD PLLC

Practice address

800 Cottage View Dr
Suite 1080B
Traverse City, MI 49684-2490

Phone

(231) 935-3549

Fax

(231) 935-3548

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mary Rose Clifton, MD

Title

Medical Provider

Phone

(231) 935-3549

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• mary rose clifton md Doing business as

Locations

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1992944193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTAGE VIEW DR",
            "address_2": "SUITE 1080B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842490",
            "telephone_number": "231-935-3549",
            "fax_number": "231-935-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COTTAGE VIEW DR",
            "address_2": "SUITE 1080B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842490",
            "telephone_number": "231-935-3549",
            "fax_number": "231-935-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KLEMENS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "231-935-3549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "431065488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4369582",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mary rose clifton md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Korin Dee Martinek
• Kathrine Mae Martinez
• Kathryn J Marusarz
• Marion Marxer
• Mary Free Bed Orthotics and Prosthetics
• Alicia Danyce Mason, FNP-C
• Cari J Mason, LLMSW
• Steven T Mast, MD
• Jessica Mastbergen, NP
• Ashley Master, TLLP

• All providers in Traverse City, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.