MR. BARRY J CLEARY (NPI# 1518957869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518957869 |
| Entity Type | Individual |
| Full Name | MR. BARRY J CLEARY |
| Other Name | BARRY CLEARY |
| Credential | PA-C |
| Practice Address |
615 Washington St Shelbyville KY 40065-1131 |
| Mailing Address |
1944 Jacksonville Rd Bagdad KY 40003-6008 |
| Practice Telephone | 5026474668 |
| Mailing Telephone | 5027470706 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2014-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
615 WASHINGTON ST |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052128 | Operation Care Inc. | Clinic/Center | 615 Washington St, Shelbyville, KY 40065-1131 | 2020-08-06 |
| 1457997215 | Trena Seago | Nurse Practitioner | 615 Washington St, Shelbyville, KY 40065-1131 | 2019-11-26 |
| 1922640689 | Carol Smith | Nurse Practitioner | 615 Washington St, Shelbyville, KY 40065-1131 | 2019-10-15 |
| 1376020388 | Francis Leonard | Physician Assistant | 615 Washington St, Shelbyville, KY 40065-1131 | 2018-07-23 |
| 1619265063 | Anita Elvira Smith | Nurse Practitioner | 615 Washington St, Shelbyville, KY 40065-1131 | 2011-07-19 |
| 1558321570 | David Paul Doehnert | Physician Assistant | 615 Washington St, Mercy Medical Clinic, Shelbyville, KY 40065-1131 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865370 | Kelsey Colley | Physician Assistant | 221 Lane Pkwy, Shelbyville, TN 37160-3108 | 2017-11-30 |
| 1801841945 | Jennifer Lee Hartman | Physician Assistant | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8548 | 2006-05-24 |
| 1083691547 | Margaret Schmidt Endris | Physician Assistant | 231 Midland Park, Shelbyville, KY 40065-9735 | 2005-12-27 |
| 1215332986 | Jamie Elise Gonzales | Physician Assistant | 112 Airport Business Park Dr, Ste H, Shelbyville, TN 37160-7452 | 2014-10-23 |
| 1730484684 | Jean Tennant | Physician Assistant | 1612 N Main St, Suite A, Shelbyville, TN 37160-2391 | 2011-01-24 |
| 1154557718 | Lauren Kathryn Kaiser | Physician Assistant | 150 W Washington St, Shelbyville, IN 46176-1236 | 2009-06-09 |
| 1801074042 | Byron J Bloom | Physician Assistant | 883 Union St, Shelbyville, TN 37160-2607 | 2008-02-08 |
| 1558415760 | Shelby Pediatrics, Psc | Physician Assistant | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2007-01-23 |
| 1992715940 | Lauralee C Coleman | Physician Assistant | 101 Stonecrest Road, Suite 3, Shelbyville, KY 40065 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.