Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Clifford, PA-C

Individual provider Physician Assistant · NPI 1437918471

Colleen Clifford, PA-C is a Physician Assistant in Montgomery, Ohio. Qualified in 2024, 2 years ago. Practices with Shalini Gupta MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9505 Montgomery Rd Ste 202
Montgomery, OH 45242-7248
Phone: (513) 407-6946
Fax: (513) 715-0514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OH)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1437918471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 13, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shalini Gupta Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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