Paul Clemons
Case Manager/Care Coordinator in Xenia, OH. Individual provider (NPI-1).
NPI number1013623909
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1013623909
- Entity type
- Individual (NPI-1)
- Name
- Paul Clemons
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2023
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
36 N Detroit StXenia, OH 45385-2909
Phone 513-892-4673
Mailing address
100 Crowne Point PlCincinnati, OH 45241-5427
Phone 513-743-7628
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 152 Case Manager/Care Coordinator providers in Xenia · All 1,198 providers in Xenia
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