Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Clayton Phillip Gatterdam IV, PA-C

Individual provider Medical Physician Assistant · NPI 1174890172

Mr. Clayton Phillip Gatterdam IV, PA-C is a Physician Assistant in Lexington, Kentucky. Graduated from Lincoln Memorial University Medical Department in 2011, 15 years ago. Practices with H2 Rehabilitation Services of Kentucky, LLC, a 186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Trained at
Lincoln Memorial University Medical Department
Licensed in
KY
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

700 Bob O Link Dr
Lexington, KY 40504-3756
Phone: (859) 258-8575
Fax: (859) 258-8562
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 310 S Limestone, Lexington, KY 40508 — (859) 226-7069
  • 3205 Summit Square Suite 100, Lexington, KY 40509 — (859) 335-9041

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1689 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1689 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA1689 (KY)

Record details

NPI number1174890172
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 19, 2011
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2011 (15 years in practice)
Group practice H2 Rehabilitation Services Of Kentucky, Llc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lexington