Marcie a. Claybon MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARCIE A. CLAYBON MD PLLC

Practice address

600 W. Chicago Ave.
Suite 001
Chicago, IL 60654

Phone

(312) 625-0845

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Marcie Ann Claybon, MDNPI 1831344373

Title

Physician, Medical Director

Phone

(513) 280-0088

Specialties & licenses 1

Addresses

Other names 1

• Bian Medical Doing business as

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcie Ann Claybon, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1831344373
  NPD Authorized official
• Samantha Jaye Gatewood, NP

  • General Practice Physician
  • Chicago, IL
  • NPI 1992390397
  NPD
• Silvana Gordon, PT, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1104651868
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1114524485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N. LASALLE DRIVE",
            "address_2": "APARTMENT 1204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60610",
            "telephone_number": "513-280-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. CHICAGO AVE.",
            "address_2": "SUITE 001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "312-625-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIE A. CLAYBON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "CLAYBON",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-280-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www",
            "affiliation": "N",
            "endpointDescription": "I would prefer not to include an 'endpoint' for now (per the application, this is optional)",
            "address_1": "600 W. Chicago Ave.",
            "address_2": "Suite 001",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bian Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Marchman, LCSW
• Marcia E. Blake, O.D.
• Marcia S Nickow LTD
• Marcia Slomowitz MD PC
• Orry Matthew Marciano
• Judith Lynn Marcin, MD
• Erika Marcinek, LCSW
• Christina Marciniak, MD
• Michelle Marie Marciniak, O.D.
• Lauren Anne Marciszyn, RD, LPC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.