Carl D. Claxton, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R6773 Issued in MO

Practice address

1925 W Chesterfield Blvd
Springfield, MO 65807-8686

Phone

(417) 269-0269

Fax

(417) 269-0279

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Faith Hospice of the Ozarks LLC

  • Community Based Hospice Care Agency
  • Rogersville, MO
  • NPI 1508241001

  Family Medicine

  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1114035367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 JOHNSTOWN DR",
            "address_2": "#540",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429366",
            "telephone_number": "417-753-7757",
            "fax_number": "417-501-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W CHESTERFIELD BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078686",
            "telephone_number": "417-269-0269",
            "fax_number": "417-269-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAXTON",
        "first_name": "CARL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240437921",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "24806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarke Surgical Center, L.L.C.
• Lindsey Clarke
• Michael S Clarke, M.D.
• Brandi Clary, MS CCC SLP
• Dana L. Clawson, CRNA
• Clay Therapy LLC
• Dick Clay, HIS
• Robin A. Clay, H.I.S.
• Erin Beth Clayman, PA
• Derek Allen Clayton

• All providers in Springfield, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.