NPIMap

Individual provider Active NPI

Ricky P. Clay Jr., M.D.

  • Surgery Physician
  • Kittanning, PA
National Provider Identifier
1558656298
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD445814 Issued in PA
Practice address
1 Nolte Dr
Kittanning, PA 16201-7111
Phone
(724) 543-8500
NPI assigned
Jun 10, 2011
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD445814 PA Primary

Addresses

Primary practice location

1 Nolte Dr
Kittanning, PA 16201-7111

Mailing address

100 N Academy Ave
Credentials Dept
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7245

Other practice location 2

500 Medical Arts Bldg Ste 540
Kittanning, PA 16201-7137
Phone (724) 543-4942

Other identifiers 1

IdentifierTypeStateIssuer
1027571010001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120921000656 PA Practitioner - General Surgery 0648428334 Reassigns benefits to 3 organizations
I20231018000662 OH Practitioner - General Surgery 0648428334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Practice addresses (Care Compare)

500 Medical Arts BLDG
Kittanning, PA 16201-7137
Phone (724) 543-4942

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nason Physician Practices LLC Current Accepting new patients
Nason Physician Practices LLC CurrentSince Sep 20, 2023 Accepting new patients
Nason Physician Practices LLC CurrentSince Sep 20, 2023 Accepting new patients
Armstrong County Memorial Hospital Current Accepting new patients
Glade Run Medical Associates Inc CurrentSince Aug 13, 2018 Accepting new patients
Glade Run Medical Associates Inc Surgery Current Accepting new patients
River Valley Physicians, LLC CurrentSince Oct 9, 2023 Accepting new patients
Armstrong County Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Glade Run Medical Associates Inc CurrentSince Aug 13, 2018 Accepting new patients

Locations

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

500 Medical Arts Bldg
Ste 540
Kittanning, PA 16201
Phone (724) 543-4942

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
  • Direct secure messaging: ricky.clay@1ah.eclinicaldirectplus.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1558656298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "CREDENTIALS DEPT",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOLTE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017111",
            "telephone_number": "724-543-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102369",
            "country_code": "US",
            "telephone_number": "570-969-7245",
            "fax_number": "570-969-7325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Medical Arts Bldg Ste 540",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162017137",
            "country_code": "US",
            "telephone_number": "724-543-4942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "RICKY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD445814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027571010001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.