PATTIE A CLAY INFIRMARY ASSN. (NPI# 1922371988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922371988 |
| Entity Type | Organization |
| Organization Name | PATTIE A CLAY INFIRMARY ASSN. |
| Other Organization Name | PATTIE A. CLAY INTERNAL MEDICINE-GINA D'COSTA MD |
| Practice Address |
789 Eastern Byp Suite 11 Richmond KY 40475-2415 |
| Practice Telephone | 8596240012 |
| Practice Fax Number | 8596240899 |
| Mailing Telephone | 8596240012 |
| Mailing Fax Number | 8596240899 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | MR. WENDELL C MCCLURG (CFO) |
| Authorized Official Telephone | 8596240012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64094576 | 05 |
| Other Name | Type Code |
|---|---|
| Pattie A. Clay Internal Medicine-Gina D'Costa MD | Doing Business As Name - Organization |
| Street Address |
789 EASTERN BYP SUITE 11 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448664 | William Joseph John | Internal Medicine | 789 Eastern Byp, Ste 25, Richmond, KY 40475-2421 | 2005-06-22 |
| 1295346443 | Trenten Gerald Hale | Nurse Practitioner | 789 Eastern Byp, Richmond, KY 40475-2415 | 2020-08-12 |
| 1841663911 | Sarah Chapman | Social Worker | 789 Eastern Byp, Ste. 23, Richmond, KY 40475-2415 | 2015-11-11 |
| 1710316021 | Ashlee S Stewart | Counselor | 789 Eastern Byp, Suite 23, Richmond, KY 40475-2415 | 2013-11-06 |
| 1104258797 | Kentucky Hand and Physical Therapy Bc LLC | Physical Therapist | 789 Eastern Byp, Suite 4, Richmond, KY 40475-2415 | 2013-08-06 |
| 1063755130 | Baptist Physicians Lexington, Inc. | Physician Assistant | 789 Eastern Byp, Suite 16, Richmond, KY 40475-2415 | 2013-03-27 |
| 1891062204 | Baptist Health Richmond Inc | Physician Assistant | 789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 | 2011-11-30 |
| 1316226475 | Baptist Health Richmond Inc | Internal Medicine | 789 Eastern Byp, Suite 25, Richmond, KY 40475-2415 | 2011-08-08 |
| 1093025504 | Joshua Lee Hill | Podiatrist | 789 Eastern Byp, Suite 5, Richmond, KY 40475-2415 | 2010-10-18 |
| 1598079675 | Amy Melinda Sanderson | Registered Nurse | 789 Eastern Byp, Suite 14, Richmond, KY 40475-2415 | 2010-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487090833 | Elise Antoinette Sideris | Internal Medicine | 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915 | 2013-05-13 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
| 1831301704 | Mary Elizabeth Simmers | Internal Medicine | 701 Gordon Ave, Richmond, VA 23224-7019 | 2007-05-04 |
| 1982146155 | Premier Hospitalists of Houston Pllc | Internal Medicine | 13023 Orchard Glen Dr, Richmond, TX 77407-3204 | 2016-11-05 |
| 1023479938 | James Thompson Medical LLC | Internal Medicine | 5206 Markel Rd, Suite 102, Richmond, VA 23230-3044 | 2016-03-19 |
| 1962822759 | Laura Rosalie Lawson | Internal Medicine | 1201 Broad Rock Blvd, Richmond, VA 23249 | 2014-04-21 |
| 1083057194 | Brittany Lynn Craven | Internal Medicine | 1250 E Marshall St, Richmond, VA 23298-5051 | 2013-04-09 |
| 1003184466 | Amy Samantha May Paul | Internal Medicine | 1250 E Marshall St, Dept. of Internal Medicine/geriatric Medicine, Richmond, VA 23298-5051 | 2011-12-13 |
| 1972802569 | Adedayo O Fashoyin | Internal Medicine | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2011-03-22 |
| Find all providers in RICHMOND | ||||
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| 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.