Individual
CLAYTON ALAN CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 347-9999
(513) 232-2522
Mailing address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 347-9999
(513) 232-2522
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
MD60763576
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35134940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313996
—
OH
01
—
H648600
MEDICARE
OH
01
—
H648601
MEDICARE
OH
Enumeration date
04/27/2012
Last updated
09/04/2024
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