DR. CLAY ANTHONY ELROD (NPI# 1104132497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104132497 |
| Entity Type | Individual |
| Full Name | DR. CLAY ANTHONY ELROD |
| Credential | D.O. |
| Practice Address |
10180 Se Sunnyside Rd Clackamas OR 97015-8970 |
| Practice Telephone | 5036522880 |
| Mailing Telephone | 5036522880 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2015-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
O-0576 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OP 60163812 | WA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
DO 168953 | OR | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
162380 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UNKNOWN | 1104132497 | 01 |
| Street Address |
10180 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-8970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855786 | Kevin C La Cour | Radiology | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2005-07-19 |
| 1588270466 | Jacob Aaron Stutheit | Student in an Organized Health Care Education/Training Program | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-09-16 |
| 1023633005 | Jeremy Ward | Student in an Organized Health Care Education/Training Program | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-06-15 |
| 1336761998 | Maksim Ivan Yablonsky | Technician, Other | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-05-17 |
| 1497389811 | Clifford Andrew Moore | Student in an Organized Health Care Education/Training Program | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-02-25 |
| 1417580622 | Taryn Dee | Surgery | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-02-16 |
| 1881225241 | Jocelyn Mason | Pharmacist | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-02-03 |
| 1760022461 | Katie Keim | Social Worker | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-01-09 |
| 1346887668 | Hannah N. Schroeder | Registered Nurse | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-12-05 |
| 1164072286 | Thien-huong Theresa Van | Student in an Organized Health Care Education/Training Program | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538241765 | Winthrop Huntington Hall IIi | Radiology | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-10-19 |
| 1457453755 | Atanu Prasad | Radiology | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-05 |
| 1659481687 | Roderick Scott Mercurio | Radiology | 10180 Se Sunnyside Rd, Radiology Department, Clackamas, OR 97015-8970 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356809073 | Medford Radiological Group, PC | Radiology | 1910 E Barnett Rd Ste 104, Medford, OR 97504-8672 | 2019-03-12 |
| 1194282400 | Comprehensive Interventional Care Centers, Pllc | Radiology | 6958 Sw Varns St, Portland, OR 97223-0000 | 2019-02-22 |
| 1538587118 | Masahiro Horikawa | Radiology | 3155 Sw Moody Ave Apt 503, Portland, OR 97239-4733 | 2014-04-01 |
| 1073956991 | Marc Michael Delrosario Lim | Radiology | 3181 Sw Sam Jackson Park Rd # L342, Portland, OR 97239-3011 | 2013-04-10 |
| 1013004548 | Edward Thomas Mcclure | Radiology | 2200 Bryant Williams Dr Fl 2, Klamath Falls, OR 97601-1121 | 2006-10-06 |
| 1700839107 | Dariusz Z Zawierucha | Radiology | 445 Harlow Rd, Springfield, OR 97477 | 2006-05-18 |
| 1588283154 | Pnw Management Group | Radiology | 6958 Sw Varns St, Portland, OR 97223-8281 | 2020-04-13 |
| 1265908289 | The Vascular and Interventional Group, LLC | Radiology | 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 | 2018-10-17 |
| 1669905261 | Ningcheng Li | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2017-04-10 |
| 1669868741 | Lisa Walker | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.