Active NPI
Clarence E Patty, CRNA
- Certified Registered Nurse Anesthetist
- Murray, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1091729
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-1100
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1091729 | KY | Primary |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100
Hospital & facility affiliations
- Jackson Purchase Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1091729 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tas of Kentucky LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trigg County Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Murray Anesthetists Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trigg County Hospital, Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Murray Anesthesia Group, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jonesboro Anesthesia Inc | Past | Accepting new patients | |
| Tas of Illinois, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Mayfield, KY
- NPI 1255735346
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Murray, KY
- NPI 1164701447
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Cadiz, KY
- NPI 1538218680
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Cadiz, KY
- NPI 1669103347
-
- Anesthesiology Physician
- Murray, KY
- NPI 1871533398
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Certified Registered Nurse Anesthetist
- Metropolis, IL
- NPI 1548636418
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1497782122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011909",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTY",
"first_name": "CLARENCE",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1091729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.