Catherine a Clayton MD PA Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME49412 Issued in FL

Legal business name

CATHERINE A CLAYTON MD PA INC

Practice address

110 Southern Oak Dr
Plant City, FL 33563-1446

Phone

(813) 752-0757

Fax

(813) 752-0753

NPI assigned

Sep 2, 2006

Last updated

Nov 4, 2010By 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

Catherine Ann Clayton, MDNPI 1396716692

Title

Physician/Owner

Phone

(813) 752-0757

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Catherine Ann Clayton, M.D.

  • Procedural Dermatology Physician
  • Plant City, FL
  • NPI 1396716692
  Authorized official Same address or phone

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1477655140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTHERN OAK DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631446",
            "telephone_number": "813-752-0757",
            "fax_number": "813-752-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTHERN OAK DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631446",
            "telephone_number": "813-752-0757",
            "fax_number": "813-752-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE A CLAYTON MD PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "813-752-0757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME49412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263636100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.