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Deactivated NPI 1104893940 Deactivated / Inactive NPI Female Practitioner

Dr. Angela L Clifford , MD

Surgery • Versailles, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Angela Clifford has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2006
NPI Deactivation Date October 25, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Angela Clifford, MD was a registered Surgery practicing in Versailles, KY. Throughout an active medical career spanning 17 years, Dr. Clifford provided care at the practice location at 360 AMSDEN AVE until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

360 Amsden Ave
Suite 302

Versailles, KY 40383

Telephone 8598738301
Fax 8598734242
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Versailles, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Versailles, KY (495 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY KY18300

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
NPI 1215054556

Doctor of Medicine (M.D.)

Dr. Robert Joseph , MD

Emergency Medicine

NPI 1235173881

Doctor of Medicine (M.D.)

Carrie Kopp , RD, LD

Dietitian, Registered

NPI 1255595252

Registered Dietitian, Licensed Dietitian

Jaclynn Williams , RD

Dietitian, Registered

NPI 1427289867

Registered Dietitian

NPI 1497893382

Doctor of Dental Medicine

NPI 1558912212

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 360 AMSDEN AVE, SUITE 302, VERSAILLES, KY 40383 (Tel: 8598738301)

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Updated Business Mailing Address July 08, 2007

Registered at 360 AMSDEN AVE, SUITE 302, VERSAILLES, KY 40383 (Tel: 8598738301)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANGELA CLIFFORD, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #KY18300 in KY)

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Initial NPI Registration & Enumeration March 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104893940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2006
Last Update: July 08, 2007
Deactivation Date: October 25, 2023

Mailing Address

360 Amsden Ave, Suite 302

Versailles, KY 40383

Phone: 8598738301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.