DR. CLINTON BLAKE LOY (NPI# 1417585811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417585811 |
| Entity Type | Individual |
| Full Name | DR. CLINTON BLAKE LOY |
| Credential | DO |
| Practice Address |
917 W Walnut St Johnson City TN 37604-6527 |
| Practice Telephone | 4234396464 |
| Practice Fax Number | 4234397118 |
| Mailing Telephone | 4234396464 |
| Mailing Fax Number | 4234397118 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033126529 | Clinton R Loy | Emergency Medicine | 100 Mercy Way, Joplin, MO 64804-4524 | 2006-08-01 |
| Street Address |
917 W WALNUT ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155963 | Joseph A Florence Iv | Family Medicine | 917 W Walnut St, Johnson City, TN 37604 | 2005-12-19 |
| 1669080057 | Jennifer Mcdougall | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2020-07-21 |
| 1972122653 | Timothy Brichetto | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2020-04-13 |
| 1497384788 | Sana Shakil | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2020-04-07 |
| 1154950277 | Benjamin Moyer | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2020-04-02 |
| 1689201907 | Aaron Michael Doran | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2020-03-25 |
| 1669034237 | Sara J Mcveigh | Social Worker | 917 W Walnut St, Johnson City, TN 37604-6527 | 2019-07-03 |
| 1518522986 | Seth Thomas | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2019-05-01 |
| 1366005605 | Katie Marie Prosser | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2019-04-22 |
| 1780247262 | Christian Francis | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2019-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585668 | Mohammad Darweesh | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd # 439-7280, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1407484157 | Kayla Page | Student in an Organized Health Care Education/Training Program | 23 Riale Ave, Johnson City, NY 13790-2707 | 2020-03-30 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1962063743 | Pooja Kumar | Student in an Organized Health Care Education/Training Program | 400 N St Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-24 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1396309324 | Praveen Shilpa Fernandopulle | Student in an Organized Health Care Education/Training Program | 1276 Gilbreath Dr # 70300, Johnson City, TN 37614-6503 | 2019-04-25 |
| 1609439686 | Alok Kumar Sinha | Student in an Organized Health Care Education/Training Program | Va Bldg 1, Johnson City, TN 37614-6503 | 2019-04-16 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1689171951 | Matthew David Carpenter | Student in an Organized Health Care Education/Training Program | Va Bldg 1, Dogwood Avenue, Johnson City, TN 37614-0622 | 2018-04-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.