TAMARA R. CLANCY MD – NPI #1003861923
Orthopaedic Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

TAMARA CLANCY is an orthopaedic surgeon located in PORT ORANGE, FL. NPPES has assigned the NPI number 1003861923 to TAMARA CLANCY on May 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name TAMARA DENISE RAY. The primary taxonomy selected by this provider is 207XS0106X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Hand Surgery

The NPI profile was previously updated about 16 years ago on Jun 29, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAMARA CLANCY below.

NPI Profile for
TAMARA R. CLANCY

NPI Number
1003861923
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TAMARA R. CLANCY
Former Name: TAMARA DENISE RAY
Credentials
MD
Primary location
3635 S CLYDE MORRIS BLVD
SUITE 900
PORT ORANGE, FL 32129-2300
Phone: (386) 788-4263 Fax: (386) 788-0679
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XS0106X
- Orthopaedic Surgery / Hand Surgery (Primary)
FL ME0065937

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TAMARA CLANCY is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTHEALTH DAYTONA BEACH
      301 MEMORIAL MEDICAL PARKWAY
      DAYTONA BEACH, FL 32117
    • ADVENTHEALTH NEW SMYRNA BEACH
      401 PALMETTO ST
      NEW SMYRNA BEACH, FL 32170
    • HALIFAX HEALTH MEDICAL CENTER
      303 N CLYDE MORRIS BLVD
      DAYTONA BEACH, FL 32114

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