Provider Demographics
NPI:1073694709
Name:CLAIRMONT, ALBERT C (MD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:C
Last Name:CLAIRMONT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-366-9211
Mailing Address - Fax:614-366-2210
Practice Address - Street 1:480 MEDICAL CENTER DR STE 1041
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1229
Practice Address - Country:US
Practice Address - Phone:614-366-9211
Practice Address - Fax:614-366-2210
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2024-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.046489208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0537539Medicaid
OHCL0543203Medicare PIN
A80792Medicare UPIN