Organization Active NPI

John D. Clayton, D.O., P.C.

  • Surgery Physician
  • Washington, IN
National Provider Identifier
1639344195
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOHN D. CLAYTON, D.O., P.C.
Practice address
1401 Memorial Ave
Ste C
Washington, IN 47501-3153
Phone
(812) 254-4808
Fax
(317) 713-1261
NPI assigned
Apr 25, 2008
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
John D Clayton, DO
Title
Owner
Phone
(812) 254-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X IN Primary

Addresses

Primary practice location

1401 Memorial Ave
Ste C
Washington, IN 47501-3153

Mailing address

PO Box 3047
Indianapolis, IN 46206-3047
Phone (317) 614-9641

Other identifiers 2

IdentifierTypeStateIssuer
DN3965OtherINRAILROAD MEDICARE
100383020MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1639344195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3047",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063047",
            "telephone_number": "317-614-9641",
            "fax_number": "317-713-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE",
            "address_2": "STE C",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013153",
            "telephone_number": "812-254-4808",
            "fax_number": "317-713-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. CLAYTON, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-254-4808",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN3965",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100383020",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.