Clanton Enterprises, Series LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7417572-1206 Issued in UT

Legal business name

CLANTON ENTERPRISES, SERIES LLC

Doing business as

Precision Medical Urgent Care and Family Practice

Practice address

75 S 200 E
Suite 202
Provo, UT 84606-3146

Phone

(801) 375-2207

Fax

(801) 375-2307

NPI assigned

Jun 25, 2015

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry A Clanton, P.A.NPI 1083837348

Title

Owner/Physician

Phone

(801) 375-2207

Specialties & licenses 1

Addresses

Other names 1

• Precision Medical Urgent Care and Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathaniel Layne Gay, DNP, FNP, GNP

  • Family Nurse Practitioner
  • Magna, UT
  • NPI 1922361872
  Medicare reassignment Care Compare group NPD
• David R Miller, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1942419049
  Medicare reassignment Care Compare group
• Andrew Warren Nielsen, PA-C

  • Medical Physician Assistant
  • Joint Base Lewis McChord, WA
  • NPI 1245505858

  UT

  Medicare reassignment Care Compare group
• Corbin Lee Allred, FNP-C

  • Family Nurse Practitioner
  • Provo, UT
  • NPI 1952944993
  Medicare reassignment NPD
• Cassie K Broadhead, PA-C

  • Physician Assistant
  • Provo, UT
  • NPI 1083087944
  Medicare reassignment
• Thomas L Cureton, PA-C

  • Surgical Physician Assistant
  • Salt Lake City, UT
  • NPI 1578566154
  Medicare reassignment
• Barry Alan Clanton, PA C

  • Physician Assistant
  • Provo, UT
  • NPI 1083837348
  Authorized official Same address or phone
• Justin Michael Loder, PA-C

  • Physician Assistant
  • Agana Heights, GU
  • NPI 1164808598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1023490091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S 200 E",
            "address_2": "SUITE 202",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063146",
            "telephone_number": "801-375-2207",
            "fax_number": "801-375-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S 200 E",
            "address_2": "SUITE 202",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063146",
            "telephone_number": "801-375-2207",
            "fax_number": "801-375-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANTON ENTERPRISES, SERIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "801-375-2207",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7417572-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Medical Urgent Care and Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Gordon DO, LLC
• Tanica Christopherson
• Chrysalis Utah, Inc.
• Jacob Church, PA
• Peter Joseph Clancy
• Barry Alan Clanton, PA C
• Clarity Mental Health PLLC
• Abigail Ruth Clark
• Albert Baxter Clark, D.D.S.
• Amanda Jill Clark

• Medical Physician Assistant in Provo, UT
• Providers in Provo, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.