DAVID H CLEMENTS (NPI# 1114917168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114917168 |
| Entity Type | Individual |
| Full Name | DAVID H CLEMENTS |
| Credential | PA-C |
| Practice Address |
4424 E Flamingo Ave Suite 110 Nampa ID 83687 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2082884700 |
| Practice Fax Number | 2082884720 |
| Mailing Telephone | 2083675170 |
| Mailing Fax Number | 2083675180 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-500 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA500 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | PANZY7 | 01 |
| ID | BLUE SHIELD | 000010147756 | 01 |
| ID | BLUE CROSS | PANY9 | 01 |
| ID | RAILROAD MEDICARE | P00159990 | 01 |
| ID | 806955800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| 1639134083 | David E Clements Sr. | Pharmacist | Davids Drug & Surgical Shop, Griffin, GA 30224 | 2006-04-19 |
| 1396226049 | David Gerald Clements | Pharmacist | 41 Park Plz, Mechanicville, NY 12118-1520 | 2018-08-21 |
| 1396189775 | David Clements | Internal Medicine | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2013-04-29 |
| 1720329956 | David Clements | Behavioral Analyst | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2013-03-13 |
| 1558660274 | David Jonathan Clements | Chiropractor | 206 S Placentia Ave, Placentia, CA 92870-5710 | 2011-03-21 |
| 1578669131 | David Marcus Clements | Internal Medicine | 700 19th St S, Birmingham, AL 35233-1927 | 2006-09-14 |
| 1114995826 | David H. Clements | Orthopaedic Surgery | 3 Cooper Plaza, Suite 408, Camden, NJ 08103 | 2006-03-09 |
| 1487647046 | David A Clements II | Internal Medicine | 4 Vanderbilt Park Drive, Suite 100, Asheville, NC 28803-1700 | 2005-08-29 |
| Street Address |
4424 E FLAMINGO AVE SUITE 110 |
| City | NAMPA |
| State | ID |
| Zip Code | 83687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356339618 | Randolph C Byrd | Internal Medicine | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2005-10-11 |
| 1154840270 | Emma Nelson | Physical Therapist | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2017-09-11 |
| 1750839502 | Boyd Layton | Physician Assistant | 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687-9289 | 2016-09-21 |
| 1386191500 | Tarasue C Maness | Nurse Practitioner | 4424 E Flamingo Ave, Ste 310, Nampa, ID 83687 | 2016-09-06 |
| 1477932523 | Steen Edwards | Physical Therapist | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2015-05-22 |
| 1477949261 | John Lattin | Physical Medicine & Rehabilitation | 4424 E Flamingo Ave, Suite 310, Nampa, ID 83687 | 2015-04-08 |
| 1588084453 | Jeffery Reese | Obstetrics & Gynecology | 4424 E Flamingo Ave, Ste 200, Nampa, ID 83687 | 2014-04-18 |
| 1588096804 | Branson J Collins | Anesthesiology | 4424 E Flamingo Ave, Nampa, ID 83687-9289 | 2013-08-09 |
| 1033473285 | Purushothaman Muthusamy | Internal Medicine | 4424 E Flamingo Ave, Ste 300, Nampa, ID 83687 | 2012-07-02 |
| 1639214216 | Tosha Jo Johnson | Nurse Practitioner | 4424 E Flamingo Ave, Suite 300, Nampa, ID 83687-9306 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096606 | Derek Scott Ahlstrom | Physician Assistant | 847 Parkcentre Way Ste 7, Nampa, ID 83651-1794 | 2019-01-08 |
| 1083197016 | Jocelyn Ashley Benton | Physician Assistant | 3908 E Flamingo Ave, Nampa, ID 83687-3102 | 2018-09-14 |
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1952799009 | Leslie Arlene Lewis | Physician Assistant | 9850 St Lukes Dr Ste 215, Nampa, ID 83687-7912 | 2014-12-23 |
| 1598192676 | Louie Ward Beech | Physician Assistant | 1510 12th Ave, Ste 200, Nampa, ID 83686 | 2013-10-03 |
| 1629155809 | Kristin Lund Lewis | Physician Assistant | 9850 W St Lukes Dr Ste 129, Nampa, ID 83687-7912 | 2006-11-01 |
| 1043286222 | Mark A Granrud | Physician Assistant | 215 E Hawaii Avenue, Nampa, ID 83686 | 2006-02-27 |
| 1174513188 | Thad W Wilkey | Physician Assistant | 16111 N Brinson St Ste100, Nampa, ID 83687-9203 | 2005-10-21 |
| 1669002721 | Nicole Webb | Physician Assistant | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-01-16 |
| 1407493638 | Alison R Dekerchove | Physician Assistant | 1115 12th Ave Rd, Nampa, ID 83686-5738 | 2019-12-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.