Edward a Clay MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

EDWARD A CLAY MD PC

Practice address

20001 Greenfield Rd
Suite 6
Detroit, MI 48235-1870

Phone

(248) 470-1280

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Edward A Clay, MD

Title

Owner

Phone

(248) 470-1280

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1437291333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482350210",
            "telephone_number": "248-470-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 GREENFIELD RD",
            "address_2": "SUITE 6",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351870",
            "telephone_number": "248-470-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A CLAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-1280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1108239391",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101877087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.