CLAYTON ALAN CARMODY


Address: 7640 Sylvania Ave Ste B, Sylvania, OH 43560
Phone: 4195178178

CLAYTON ALAN CARMODY (NPI# 1548528573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548528573
Entity Type Individual
Full Name CLAYTON ALAN CARMODY
Credential M.D.
Practice Address 7640 Sylvania Ave Ste B
Sylvania
OH 43560
Mailing Address 7640 Sylvania Ave Ste B
Sylvania
OH 43560-9263
Practice Telephone 4195178178
Mailing Telephone 4195178178
Enumeration Date 2012-04-27
Last Update Date 2019-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
MD60763576 WA Allopathic & Osteopathic Physicians
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
35134940 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH MEDICARE H648601 01
OH MEDICARE H648600 01
OH 0313996 05

Office Location

Street Address 7640 SYLVANIA AVE STE B
City SYLVANIA
State OH
Zip Code 43560

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053735647 Jenna Yeager Physician Assistant 7640 Sylvania Ave Ste B, Sylvania, OH 43560-9263 2014-02-18
1295070746 Cutting Edge Orthopaedics, LLC Orthopaedic Surgery 7640 Sylvania Ave Ste B, Sylvania, OH 43560-9263 2012-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295332732 Jonelyn Hutchinson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5628 Fox Hollow Ct, Sylvania, OH 43560 2020-10-07
1285190611 Karen Marie Mccartney Occupational Therapy Assistant Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 2019-02-11
1063936136 Christina Cousino Family Medicine 7228 Ridgeland Rd, Sylvania, OH 43560 2017-08-01
1053858159 Scott Campbell Counselor 5808 Monroe St Suite A2, Sylvania, OH 43560 2017-01-26
1932658549 Trilogy Healthcare of Sylvania LLC Skilled Nursing Facility 5351 Mitchaw Road, Sylvania, OH 43560 2016-09-23
1730546300 Ashley Lynn Sendelbach Speech-Language Pathologist 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 2016-01-27
1881078533 Khader Mustafa Internal Medicine 5700 Monroe St Unit 202, Sylvania, OH 43560 2015-07-13
1013391903 Res-care Ohio, Inc. Intermediate Care Facility, Mentally Retarded 2631 Davidson Drive, Toledo, OH 43560 2015-07-10
1104212596 Emily Elyse Miller Speech-Language Pathologist 4121 King Road, Maumee, OH 43560 2015-04-13
1750706404 Victoria Davis Speech-Language Pathologist 7962 Millford, Sylvania, OH 43560 2014-03-04
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104442516 Beacon Orthopaedics & Sports Medicine, Ltd Orthopaedic Surgery 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 2020-06-22
1790281517 Mercy Health Physicians Cincinnati LLC Orthopaedic Surgery 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 2018-04-02
1952817413 Caitlin Elisabeth Lefevre Orthopaedic Surgery 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 2017-12-20
1255740197 Orthocincy Orthopaedic Surgery 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 2014-08-05
1427465517 Anthony Stephen Berdis Orthopaedic Surgery 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 2014-07-21
1831525500 Mccullough-hyde Memorial Hospital, Inc. Orthopaedic Surgery 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 2013-09-25
1699020206 Benjamin D. Richman Orthopaedic Surgery 245 Meadowood Ln, Moreland Hills, OH 44022-1342 2012-07-19
1083945638 Orthocincy Orthopaedic Surgery 7626 University Dr, Suite 102, West Chester, OH 45069-2509 2010-01-21
1669602140 David Alan Brys Orthopaedic Surgery 2785 Timbercreek Dr N, Cortland, OH 44410 2009-07-20
1730314238 Ian Sterling Rice Orthopaedic Surgery 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 2009-05-28
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Competitor

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City SYLVANIA
Zip Code 43560

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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