Active NPI
Clayton Lee Myers
- Contractor
- Ft Lauderdale, FL
National Provider Identifier
1184767642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- ME30938
- Practice address
- 2780 N Federal Hwy
Ft Lauderdale, FL 33306-1424 - Phone
- (954) 564-1111
- Fax
- (954) 564-0126
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | ME30938 | FL | Primary |
Addresses
Primary practice location
2780 N Federal Hwy
Ft Lauderdale, FL 33306-1424
Mailing address
2780 N Federal Hwy
Ft Lauderdale, FL 33306-1424
Phone (954) 564-1111
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184767642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 N FEDERAL HWY",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333061424",
"telephone_number": "954-564-1111",
"fax_number": "954-564-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 N FEDERAL HWY",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333061424",
"telephone_number": "954-564-1111",
"fax_number": "954-564-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CLAYTON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "ME30938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
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.