Karin J. Clary, P.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

10000461A Issued in IN

Practice address

12772 Hamilton Crossing Blvd
Carmel, IN 46032-5422

Phone

(317) 814-1000

Fax

(317) 814-1015

NPI assigned

Sep 22, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Karin J. Becker Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana Polyclinic PC

  • Pain Clinic/Center
  • Carmel, IN
  • NPI 1609117118
  Medicare reassignment
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053307397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12772 HAMILTON CROSSING BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325422",
            "telephone_number": "317-814-1000",
            "fax_number": "317-814-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12772 HAMILTON CROSSING BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325422",
            "telephone_number": "317-814-1000",
            "fax_number": "317-814-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "KARIN",
        "middle_name": "J.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "10000461A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT CERTI",
            "identifier": "10000461A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "BECKER",
            "middle_name": "J.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne Mary Clark, OTR
• Kirsten Elizabeth Clark, PTA
• Lisa Marie Clark
• Matthew Clark, O.D.
• Diana Lynn Clarke, LMHC, NCC
• Tanya May Clary, CNS
• Dawn Clay
• Lisa Renee Clay, M.D.
• Debra Claybaugh
• Amy Rebecca Clayton, ANP

• Specialist in Carmel, IN
• Providers in Carmel, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.