Active NPI
Clayton Lemuel Heard, CSA
- Surgical Technologist
- Lanham, MD
National Provider Identifier
1124240387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 2865
- Practice address
- 5700 Allwood CT
Lanham, MD 20706-2310 - Phone
- (301) 552-5912
- Fax
- (202) 785-4787
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 2865 | MD | Primary |
Addresses
Primary practice location
5700 Allwood CT
Lanham, MD 20706-2310
Mailing address
5700 Allwood CT
Lanham, MD 20706-2310
Phone (301) 552-5912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2865 | MD | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124240387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 ALLWOOD CT",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062310",
"telephone_number": "301-552-5912",
"fax_number": "202-785-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 ALLWOOD CT",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062310",
"telephone_number": "301-552-5912",
"fax_number": "202-785-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "CLAYTON",
"middle_name": "LEMUEL",
"name_prefix": "Mr.",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "MD",
"license": "2865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.