Provider Demographics
NPI:1083618953
Name:NASH, CLAYTON H (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:H
Last Name:NASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAY
Other - Middle Name:
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:311 OAKSHORES CIR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-8199
Mailing Address - Country:US
Mailing Address - Phone:479-212-0590
Mailing Address - Fax:
Practice Address - Street 1:4910 MALVERN AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71910
Practice Address - Country:US
Practice Address - Phone:479-212-0590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0147207Q00000X
ARN8393207Q00000X
ARN-8393207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
80153279OtherRAILROAD MEDICARE
AR126747001Medicaid
80153279OtherRAILROAD MEDICARE
AR126747001Medicaid