DR. CLAYTON CHARLES BETTIN (NPI# 1376861849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376861849 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON CHARLES BETTIN |
| Credential | M.D. |
| Practice Address |
1211 Union Ave Suite 500 Memphis TN 38104-6638 |
| Mailing Address |
1400 S Germantown Rd Germantown TN 38138-2205 |
| Practice Telephone | 9017593100 |
| Practice Fax Number | 9017595416 |
| Mailing Telephone | 9017593100 |
| Mailing Fax Number | 9017595416 |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 54304 | TN | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
54304 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 216986001 | 05 | |
| MS | 05035265 | 05 | |
| TN | Q025470 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 S Germantown Rd, Germantown, TN 381382205 | 9017593100 | |
| 1458 W Poplar Ave Ste 100, Collierville, TN 380170630 | 9017593100 | |
| 7545 Airways Blvd, Southaven, MS 386715806 | 9017593100 | |
| 8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 | 9017593100 |
| Street Address |
1211 UNION AVE SUITE 500 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679912 | David Kenji Mcgregor | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2005-06-14 |
| 1487008850 | Charles Theodore Fryberger IIi | Student in an Organized Health Care Education/Training Program | 1211 Union Ave, Suite 510, Memphis, TN 38104-6638 | 2016-04-21 |
| 1639537830 | Vanessa L Armenise | Nurse Practitioner | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2016-02-02 |
| 1659745420 | West Clinic, P.C. | Internal Medicine | 1211 Union Ave, Memphis, TN 38104-6638 | 2015-11-17 |
| 1033595731 | Memphis Pathology Group PC | Pathology | 1211 Union Ave, Suite 875, Memphis, TN 38104-6638 | 2015-08-04 |
| 1922416361 | Aaron Greear | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1104234509 | Matthew Peterson | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1851709281 | Pritha Mony | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1497163257 | Melinda Laughter Carden | Physical Therapist | 1211 Union Ave, Ste 195, Memphis, TN 38104-6638 | 2014-07-24 |
| 1083045553 | Jacquelyn Mcdonald | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024953 | Susan N Ishikawa | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-27 |
| 1235158486 | Southern Orthopaedic Foot & Ankle Ctr | Orthopaedic Surgery | 725 Glenwood Dr, Ste E884, Chattanooga, TN 37404-1182 | 2006-07-19 |
| 1295751634 | Tracy A Pesut | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2006-07-15 |
| 1447201967 | Jeffrey Donald Willers | Orthopaedic Surgery | 2021 Church Street, Suite 200, Nashville, TN 37203 | 2006-05-12 |
| 1962467498 | Karen J Mcrae | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2006-04-18 |
| 1417922618 | Richard G Alvarez | Orthopaedic Surgery | 979 E 3rd St, Suite C430, Chattanooga, TN 37403-2136 | 2006-02-21 |
| 1043207186 | Elbert Greer Richardson | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-10-04 |
| 1912994450 | David R Richardson | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-30 |
| 1952398646 | Garnett Andrew Murphy | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-29 |
| 1326044298 | Matthew M Buchanan | Orthopaedic Surgery | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2005-06-24 |
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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.