Clayton Tyler Scheets, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2019003607 Issued in MO

Practice address

305 N Keene St Ste 105
Columbia, MO 65201-6897

Phone

(573) 442-2299

NPI assigned

Apr 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1740844547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7167",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST STE 105",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-442-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEETS",
        "first_name": "CLAYTON",
        "middle_name": "TYLER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019003607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marguerite Schaeffer, MD
• Krista Lena Schaller, FNP-C
• Dan J. Schapira, D.D.S.
• Ben Schartman, CIT
• Alice Marie Schawo, M. ED., CRC, LPC
• Michelle L. Scheidt-Hopkins
• Nicky Elizabeth Scheidt, P.T.
• Troy Dean Scheidt, MD
• Ryan Michael Schell, M.D.
• Anna Rose Scheperle

• Physician Assistant in Columbia, MO
• Providers in Columbia, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.