Clayton Endocrinology LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

101819 Issued in MO

Legal business name

CLAYTON ENDOCRINOLOGY LLC

Practice address

1423 S Big Bend Blvd
Saint Louis, MO 63117-2203

Phone

(314) 875-0380

Fax

(314) 875-0382

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Reza Rofougaran, M.D.

Title

Director

Phone

(314) 875-0380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1396803995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172203",
            "telephone_number": "314-875-0380",
            "fax_number": "314-875-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631172203",
            "telephone_number": "314-875-0380",
            "fax_number": "314-875-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "ROFOUGARAN",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-875-0380",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "101819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clayton Medical Associates, P.C. (Saint Louis Rheumatology)
• Clayton Medical Center
• Clayton Medical Center, LLC
• Clayton Medical Consultants Inc
• Clayton Pain Clinic, LLC (Smart Pain Solutions)

• Endocrinology, Diabetes & Metabolism Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.