Active NPI
Gerald Hannon Clayton II, PHD
- Neuroradiology Physician
- Aurora, CO
National Provider Identifier
1255829289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 12345
- Practice address
- 13123 E. 16TH Avenue
Dept PM&R, B-285
Aurora, CO 80045-7106 - Phone
- (720) 777-8842
- Fax
- (720) 777-7297
- NPI assigned
- Apr 25, 2018
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 12345 | CO | Primary |
Addresses
Primary practice location
13123 E. 16TH Avenue
Dept PM&R, B-285
Aurora, CO 80045-7106
Mailing address
13123 E. 16TH Avenue
Dept PM&R, B-285
Aurora, CO 80045-7106
Phone (720) 777-8842
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12345 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1255829289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13123 E. 16TH AVENUE",
"address_2": "DEPT PM&R, B-285",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-8842",
"fax_number": "720-777-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E. 16TH AVENUE",
"address_2": "DEPT PM&R, B-285",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-8842",
"fax_number": "720-777-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "GERALD",
"middle_name": "HANNON",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CO",
"license": "12345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.