Individual provider Active NPI

Andrea Claytor, PA-C

  • Physician Assistant
  • Delaware, OH
National Provider Identifier
1306077987
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002919 Issued in OH
Practice address
1100 Sunbury Rd
#706
Delaware, OH 43015-6040
Phone
(740) 363-3133
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002919 OH Primary

Addresses

Primary practice location

1100 Sunbury Rd
#706
Delaware, OH 43015-6040

Mailing address

1100 Sunbury Rd
#706
Delaware, OH 43015-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000423 OH Practitioner - Physician Assistant 6002961760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.002919OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions, LLC Physician Assistant CurrentSince Jul 15, 2019 Accepting new patients

Locations

1430 S High St
Columbus, OH 43207
Phone (614) 255-6930

1100 Sunbury Rd
Ste 706
Delaware, OH 43015
Phone (740) 363-3133

211 Edgefield Blvd
Marion, OH 43302

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1306077987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SUNBURY RD",
            "address_2": "#706",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430156040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SUNBURY RD",
            "address_2": "#706",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430156040",
            "telephone_number": "740-363-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTOR",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.