Active NPI
James M Clayton Jr., MD
- Plastic and Reconstructive Surgery Physician
- Provo, UT
National Provider Identifier
1265434823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 163081-1205
- Practice address
- 280 River Park Dr
Ste 240
Provo, UT 84604-5764 - Phone
- (801) 375-4646
- Fax
- (801) 375-1999
- NPI assigned
- Aug 12, 2005
- Last updated
- Aug 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 163081-1205 | UT | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 163081-1205 | UT | Primary |
Addresses
Primary practice location
280 River Park Dr
Ste 240
Provo, UT 84604-5764
Mailing address
280 River Park Dr
Ste 240
Provo, UT 84604-5764
Phone (801) 375-4646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163081-1205 | UT | MD | Plastic and Reconstructive Surgery Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1265434823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 RIVER PARK DR",
"address_2": "STE 240",
"city": "PROVO",
"state": "UT",
"postal_code": "846045764",
"telephone_number": "801-375-4646",
"fax_number": "801-375-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 RIVER PARK DR",
"address_2": "STE 240",
"city": "PROVO",
"state": "UT",
"postal_code": "846045764",
"telephone_number": "801-375-4646",
"fax_number": "801-375-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "163081-1205",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "UT",
"license": "163081-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.