Organization Active NPI

Dr Jean M Clay, PC

Doing business as Commonwealth Foot Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • Williamsburg, VA
National Provider Identifier
1316113764
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DR JEAN M CLAY, PC
Doing business as
Commonwealth Foot Care, Inc
Practice address
302 Bulifants Blvd Ste 101
Williamsburg, VA 23188-5738
Phone
(757) 220-3338
Fax
(757) 220-8809
NPI assigned
May 6, 2008
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Jean M Clay, DPMNPI 1154316453
Title
Owner
Phone
(757) 220-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

302 Bulifants Blvd Ste 101
Williamsburg, VA 23188-5738

Mailing address

302 Bulifants Blvd Ste 101
Williamsburg, VA 23188-5738
Phone (757) 220-3338

Other names 1

  • Commonwealth Foot Care, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

302 Bulifants Blvd
Ste 101
Williamsburg, VA 23188
Phone (757) 220-3338

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1316113764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BULIFANTS BLVD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885738",
            "telephone_number": "757-220-3338",
            "fax_number": "757-220-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BULIFANTS BLVD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885738",
            "telephone_number": "757-220-3338",
            "fax_number": "757-220-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEAN M CLAY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-220-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Foot Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.