Conrad Allison Claytor, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000782 Issued in VA

Practice address

1934 Braeburn Dr
Salem, VA 24153-7302

Phone

(540) 982-0253

Fax

(540) 982-1996

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Valley Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Salem, VA
  • NPI 1366651754
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1306891460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253",
            "fax_number": "540-982-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253",
            "fax_number": "540-982-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTOR",
        "first_name": "CONRAD",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009331247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe F Clark, M.D.
• Nathanael Bryant Clark, BEHAVIOR TECHNICIAN
• Stacy R Clark, PHARMD
• Emily Dale Clarke, BT
• Destinee Monique Clay, RBT
• Donna Celeste Clevenger
• Laura Elizabeth Clevinger, MSW, LCSW
• Michael Clevinger
• Kyle Clifford
• Rebecca Allison Cloudt, DDS

• Podiatrist in Salem, VA
• Providers in Salem, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.