JOHN T CLARDY SR MD INC NPI 1215126644

NPI Information

NPI: 1215126644
Provider Name: JOHN T CLARDY SR MD INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
215 8TH ST
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 503-0182
Get Directions

JOHN T CLARDY SR MD INC is an adult medicine family medicine in Clarksville, TN. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. JOHN T CLARDY SR MD INC NPI is 1215126644. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 8TH ST
CLARKSVILLE, TN
ZIP 37040-249
Phone: (931) 503-0182
Fax: (931) 503-0192

The provider's authorized official is John Thomas Clardy .
The authorized official title is President/physcian and has the following contact phone number (931) 503-0182.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 1/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RA0000X	Internal Medicine	Adolescent Medicine	MD0000030062	TENNESSEE	No
2	207QA0505X	Family Medicine	Adult Medicine	MD0000030062	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38298151	MEDICAID	TENNESSEE
2	38298152	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »