CLAY MATTHEW PHILLIP DO
NPI 1396548111
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Clay Phillip's NPI number?

The NPI number for Clay Phillip is 1396548111. It was assigned to this individual provider in the NPPES registry on March 28, 2025. The provider is also known as Clay Matthew Carrel Do.

Q: What is Clay Phillip's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Clay Phillip was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2025PECOS Enrolled

18101 LORAIN AVE, CLEVELAND, OH 44111(216) 476-7000 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Clay Matthew Phillip Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAY MATTHEW PHILLIP DO (NPI 1396548111) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396548111

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCLAY MATTHEW PHILLIPCredential: DO

Location Address18101 LORAIN AVECleveland, OH 44111-5612

Mailing Address18101 Lorain AveCleveland, OH 44111-5612 · (216) 476-7000

Phone(216) 476-7000

Sole ProprietorYes

Enumeration DateMarch 28, 2025

NPPES CertifiedMarch 28, 2025

✔ NPI 1396548111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

18101 LORAIN AVE, Cleveland, OH 44111

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Other Names 1

Former Name (1)Clay Matthew Carrel Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clay Matthew Phillip Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH EL DAHDAH MD

Student in an Organized Health Care Education/Training Program