DR. JOHN ROBERT CLEMENT MD - NPI 1629188602 - Internal Medicine in Carterville, IL

Q: What is John Clement's NPI number?

The NPI number for John Clement is 1629188602. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is John Clement's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for John Clement was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. John Robert Clement Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN ROBERT CLEMENT MD (NPI 1629188602) is an individual hematology & oncology provider in Carterville, Illinois, licensed in Illinois (036.144294) and active in the NPI registry since August 2006. He maintains a secondary practice location in Pineville.

NPPES Registry Identity

NPI1629188602

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. JOHN ROBERT CLEMENTCredential: MD

Location Address1400 PIN OAK DRCarterville, IL 62918-1600

Mailing Address2495 Shreveport HwyPineville, LA 71360-4044 · (318) 473-0010

Phone(618) 985-3333

Fax(618) 985-1318

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1629188602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in IL · 036.144294✔ Licensed in LA · 014096

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1400 PIN OAK DR, Carterville, IL 62918

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Secondary Practice Location 1

Location 12495 Shreveport HwyPineville, LA 71360-4044 · Phone (318) 473-0010 ext. 2133

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IBRAHIM DARE OMORE M.D

Internal Medicine (Hematology & Oncology)