Clayton A Francis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30077 Issued in IA

Practice address

210 4TH Ave
Grinnell, IA 50112-0780

Phone

(641) 236-2500

Fax

(641) 236-2539

NPI assigned

Sep 2, 2005

Reactivated

Mar 29, 2006

Last updated

Oct 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Professional Services

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242
  Medicare reassignment NPD
• Clayton a Francis MD

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1285742478
  Authorized official Same address or phone
• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Regional Medical Center

  • General Acute Care Hospital
  • Grinnell, IA
  • NPI 1669420501
  NPD
• Rebelsky Family Practice LLC

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1689605768
  NPD (past)
• Roy a Doorenbos MD

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437267713
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1811981012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 780",
            "address_2": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120780",
            "telephone_number": "641-236-2500",
            "fax_number": "641-236-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120780",
            "telephone_number": "641-236-2500",
            "fax_number": "641-236-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "CLAYTON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2007-10-12",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "30077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294801",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112698",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROV #",
            "identifier": "421426454501120000",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "16842",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Ferguson, M.D.
• Catherine L Fields-Nelson
• Jordan Deann Finch-Smith
• Corinne E Fogle, PA-C
• April L. Forsyth, MD
• Friends of Angels LLC (Omnicare Welness)
• Anecto Mendoza Gallardo Jr., M.D.
• Gallegos Counseling, LLC
• Beth Mi Gallegos, LCSW
• Anthony Joseph Gallo, PT

• Family Medicine Physician in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.