John Paul Clay, PA
Individual provider Active NPI Medical Physician Assistant · Galax, VA
NPI 1316111024 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1316111024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0110-002747 (VA)
- Practice address
- 199 Hospital Dr
Suite 7
Galax, VA 24333-2454 - Phone
- (276) 236-5181
- NPI assigned
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14 | WV | MD | Endocrinology, Diabetes & Metabolism Physician |
| 0110-002747 | VA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110-002747 | VA | Yes |
Addresses
Primary practice location
199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Mailing address
199 Hospital Dr
Suite 7
Galax, VA 24333-2454
Phone (276) 236-5181
Other providers in Galax, VA
- James Allen Chappell
- Cynthia Lee Chausse
- Chestnut Creek Counseling Center
- Chestnut Creek Orthopedics and Sports Medicine PLLC
- Kenneth A Clark
- Clearchoice DME LLC
- Mark Clemons
- Raymond Charles Clifford Sr.
- Dale Clymer
- Mary Kay Cole-Mitchell
All providers in Galax, VA · Medical Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.