Clayton Foot and Ankle, P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

570 Issued in NC

Legal business name

CLAYTON FOOT AND ANKLE, P.C.

Practice address

11618 US Hwy 70 W
108
Clayton, NC 27520-2275

Phone

(919) 585-6607

Fax

(919) 585-6648

NPI assigned

May 23, 2013

Last updated

Jun 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Michael Sibrizzi, DPMNPI 1518247881

Title

Owner

Phone

(919) 585-6607

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack M Sibrizzi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clayton, NC
  • NPI 1518247881
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1346687951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CRICKET HOLLOW RUN",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205922",
            "telephone_number": "919-585-6607",
            "fax_number": "919-585-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US HWY 70 W",
            "address_2": "108",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202275",
            "telephone_number": "919-585-6607",
            "fax_number": "919-585-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON FOOT AND ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "SIBRIZZI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-585-6607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918668",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clayton Drug Company Inc (Beddingfield Drug Co)
• Clayton Drugs LLC (Clayton Pharmacy)
• Clayton Eye Clinic Optometry PA
• Clayton Health Holdings, LLC (Clayton House)
• Clayton Holdings LLC (Clayton House)
• Clayton Internal Medicine PC
• Clayton Medical and Vascular Center PLLC
• Clayton Medical Associates P a

• Foot & Ankle Surgery Podiatrist in Clayton, NC
• Providers in Clayton, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.