Robert E Clayton 11 MD Medical-Wellness LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ROBERT E CLAYTON 11 MD MEDICAL-WELLNESS LLC

Practice address

231 McLeod St
Merritt Island, FL 32953-3463

Phone

(321) 555-5555

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Jan Clayton

Title

Adminstrator

Phone

(321) 258-8034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Robert E Clayton, MD

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
  • NPI 1871593517
  Medicare reassignment

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1285158774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533463",
            "telephone_number": "321-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E CLAYTON 11 MD MEDICAL-WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "321-258-8034"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Riopedre-Gomez, DMD
• Taylor Rioux
• Riverside Family Health
• Susan C Robbins, RN
• Robert Aranibar, M.D., LLC
• Robert H. Paxson, MD
• Robert W. Traven D.C. P.a.
• Ann Elizabeth Roberts, SLP CCC
• Tracey Robinson, RN
• Rockledge Hma Convenient Care, LLC

• Obstetrics & Gynecology Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.