John T Clardy Sr MD Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD0000030062 Issued in TN

Legal business name

JOHN T CLARDY SR MD INC

Practice address

215 8TH St
Clarksville, TN 37040-3249

Phone

(931) 503-0182

Fax

(931) 503-0192

NPI assigned

Oct 22, 2007

Last updated

Jan 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Thomas Clardy Sr., M.D

Title

President/Physcian

Phone

(931) 503-0182

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1215126644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 8TH ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403249",
            "telephone_number": "931-503-0182",
            "fax_number": "931-503-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 8TH ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403249",
            "telephone_number": "931-503-0182",
            "fax_number": "931-503-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T CLARDY SR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "CLARDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/PHYSCIAN",
        "authorized_official_telephone_number": "931-503-0182",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "MD0000030062",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TN",
            "license": "MD0000030062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38298151",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38298152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Westerkamm MD PLLC
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• John K. Endsley, MD, PC
• John L Stanton MD PC
• John L Stanton MD PC (The Joint and Spine Pain Center)
• Cynthia Marie Johns
• Deandra Johnson-Barrett
• Alyssa Johnson
• Arionna Johnson
• Beverly Clark Johnson, MD

• Adult Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.