Clarence E Patty (NPI# 1497782122, PAC ID# 7214834985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1497782122 |
| PAC ID by PECOS | 7214834985 |
| Professional Enrollment ID | I20031219000006 |
| Full Name | Clarence E Patty |
| Organization Legal Name | TAS OF KENTUCKY LLC |
| Address |
1099 Medical Ctr Cir Mayfield KY 42066-1159 |
| Phone Number | 2702514100 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1994 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3274856232 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180116 | JACKSON PURCHASE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 | 2702514100 | TAS OF KENTUCKY LLC |
| Organization Legal Name | TAS OF KENTUCKY LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin B Elliott | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Amanda Massey | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Robert Masse | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Teena R Patty | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Dean G Canestrini | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Betty D Sandlin | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Angela S Lane | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Jennifer Harris | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Linda G Harris | Certified Registered Nurse Anesthetist | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Street Address |
1099 MEDICAL CTR CIR |
| City | MAYFIELD |
| State | KY |
| Zip | 42066-1159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin B Elliott | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Louis G Forte | Emergency Medicine | Southeastern Emergency Physicians LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Amanda Massey | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Robert Masse | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Teena R Patty | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Rakesh Chandra | Psychiatry | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 | |
| Christopher L Poor | Emergency Medicine | Southeastern Emergency Physicians LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Sue D Miller | Emergency Medicine | Southeastern Emergency Physicians LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Dean G Canestrini | Certified Registered Nurse Anesthetist (crna) | Tas of Kentucky LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Mary A Austin | Family Medicine | Southeastern Emergency Physicians LLC | 1099 Medical Ctr Cir, Mayfield, KY 42066-1159 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Laframboise | Physical Therapy | Atlas Physical Therapy LLC | 1413 Us Hwy 45, Mayfield, KY 42066 |
| Carla Ann Atherton | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Lillian Silva | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Myra F Mardis | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Daniel A Ogaz | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Rauf Murtaza | Anesthesiology | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Jonathan Embry | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Mary Theresa Lancaster | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Larry D Corn Jr. | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Robert R Loughran | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Kentucky, Pllc | 1099 Medical Ctr Circle, Mayfield, KY 42066-1143 |
| Find all physicians in zip 42066 | |||
| City | MAYFIELD |
| Zip Code | 42066 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MAYFIELD + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Clarence E Patty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.