Clayton R Perry, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

R3C54 Issued in MO

Legal business name

CLAYTON R PERRY, MD PC

Practice address

1011 Bowles Ave
Suite 400
Fenton, MO 63026-2387

Phone

(314) 821-4884

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Clayton Perry, MD

Title

Owner

Phone

(314) 768-3216

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher T. Labonte, MD

  • Internal Medicine Physician
  • Town and Country, MO
  • NPI 1093813099
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1891766754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "314-872-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE 400",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262387",
            "telephone_number": "314-821-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON R PERRY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-768-3216",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R3C54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201712254",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Wellness Center of St Louis LLC
• Chotchai Srisuro, M.D., Inc.
• Anthony Clark, D.D.S.
• Victor Lee Clark, D.M.D.
• Clarkson Optometry Inc
• Caitlin Clote, LCSW
• Courtney Jane Cockerell, D.O
• Donna Coffman, M.D.
• Cogent Healthcare of Missouri, Inc
• Brendon Michael Collins, M.ED, PLPC

• All providers in Fenton, MO
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.