COREY D CLAY (NPI# 1417247727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417247727 |
| Entity Type | Individual |
| Full Name | COREY D CLAY |
| Credential | MD, PHD |
| Practice Address |
1651 Galisteo St Ste 8 Santa Fe NM 87505-4752 |
| Mailing Address |
Po Box 603725 Charlotte NC 28260-3725 |
| Practice Telephone | 5058209870 |
| Practice Fax Number | 5059831265 |
| Mailing Telephone | 8285752625 |
| Mailing Fax Number | 8283502174 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD2019-0525 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE PTAN | 825732 | 01 |
| NM | MEDICARE PTAN | 875307 | 01 |
| NM | 76683877 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3255 Eden Ave, Suite 350, Ml 563, Cincinnati, OH 452670563 | 5135583618 | 5135583799 |
| 7001 Signal Ave Ne, Albuquerque, NM 871132453 | 5058562735 | 5058562749 |
| Street Address |
1651 GALISTEO ST STE 8 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710137658 | Carolyn A. Bauer | Physician Assistant | 1651 Galisteo St Ste 8, Santa Fe, NM 87505-4752 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174873277 | Charles Mittnacht Smith | Allergy & Immunology | 1101 Padre Kino, Santa Fe, NM 87501-2900 | 2012-09-16 |
| 1285624593 | James Herbert Sussman | Allergy & Immunology | 1651 Galisteo St, Suite 8, Santa Fe, NM 87505-4752 | 2005-10-27 |
| 1225028541 | Allergy Partners, Pllc | Allergy & Immunology | 1651 Galisteo St, Suite 8, Santa Fe, NM 87505-4752 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669612107 | Alvi Family Inc | Allergy & Immunology | 2616 Mesilla St Ne Ste 1, Albuquerque, NM 87110-3659 | 2009-02-24 |
| 1437316817 | Osman Caner Dokmeci | Allergy & Immunology | 8304 R C Gorman Ave Ne, Albuquerque, NM 87122-2718 | 2008-05-22 |
| 1225222144 | Allergy and Asthma Care Inc. | Allergy & Immunology | 2509 Virginia St Ne Ste B, Albuquerque, NM 87110-4695 | 2007-09-04 |
| 1922147958 | Shanze Wang | Allergy & Immunology | 7001 Signal Ave Ne, Albuquerque, NM 87113-2453 | 2007-02-06 |
| 1871672535 | Bruce H Feldman | Allergy & Immunology | 4901 Lang Ave Ne Ste 100, Albuquerque, NM 87109-4597 | 2006-11-03 |
| 1144235607 | Mark Schuyler | Allergy & Immunology | 1 Unm, Msc10 5550, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1467475756 | Michael H Keslin | Allergy & Immunology | 6100 Pan American East Fwy Ne, Suite 330, Albuquerque, NM 87109-3427 | 2006-07-26 |
| 1568414985 | Michael Richard Rupp | Allergy & Immunology | 3800 E Lohman Ave Ste A, Las Cruces, NM 88011-8287 | 2006-05-16 |
| 1225007644 | Shayne C Stokes | Allergy & Immunology | 377 Mdg Sghq, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2006-03-16 |
| 1811969322 | Ronald John Rosandich | Allergy & Immunology | 8010 Mountain Rd Ne, Albuquerque, NM 87110-7840 | 2006-02-07 |
| 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.