Clayton Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLAYTON INTERNAL MEDICINE, LLC

Practice address

222 S Woods Mill Rd
Ste 520N
Chesterfield, MO 63017-3625

Phone

(314) 205-6839

Fax

(314) 576-2393

NPI assigned

Aug 21, 2006

Organization subpart

Yes

Parent organization

ST. LUKE'S MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Rick Sonne

Title

Director

Phone

(314) 576-2490

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

St Lukes Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1487769931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "address_2": "ATTN: RICK SONNE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-576-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "STE 520N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-205-6839",
            "fax_number": "314-576-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON INTERNAL MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE0586",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clear Skies Psychiatry LLC
• Michael J Cleary, M.D.
• Allison Clemons, PHARM.D., BCPS, BCCP
• Brittney Clifton, BCBA
• Clinic of Internal Medicine, LLC

• Internal Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.