Unknown Individual – General Practice Physician, NPI 1467443309
General Practice Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Clementi Custom Upholstery, 219, Fawn Lane, Clayton, Johnston County, North Carolina, 27527, United States
CLAYTON, OK 745360219
Phone: (918) 569-4143
Fax: (918) 569-7343
Type: Mailing
Lawson Boulevard, Clayton, Pushmataha County, Oklahoma, United States
CLAYTON, OK 745360219
Phone: (918) 569-4143
Fax: (918) 569-7552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 85610 | Blood test, clotting time | 62 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| O P T O M E T R Y | OK | |
| Clinical Social Worker | OK | |
| O P T O M E T R Y | OK | |
| Dermatology, Family Practice | OK | |
| Nurse Practitioner | OK | |
| C H I R O P R A C T I C | OK | |
| - | OK | |
| Family Practice | OK | |
| Marriage And Family Therapist | OK |
Reviews
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