Individual provider
CHARLES MALCOLM CLAIR JR., MD
CMS NPPES lists CHARLES MALCOLM CLAIR JR. as an individual provider record with NPI 1003012204. The current record reports a primary practice location in RUPERT, ID and primary taxonomy code 207Q00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location1224 8TH STRUPERT, ID 833501599
- Additional practice location1071 Renee AvePocatello, ID 832012508
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
208M00000XAdditional reported taxonomy207Q00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 25, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.