Keith J. Clayton, M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

152622-1205 Issued in UT

Legal business name

KEITH J. CLAYTON, M.D., P.C.

Practice address

1675 N Freedom Blvd
Ste 9C
Provo, UT 84604

Phone

(801) 377-4800

Fax

(801) 377-4041

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Lynne Ord

Title

Office Manager

Phone

(801) 377-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Matthew Joseph Clayton, D.O.

  • Pediatrics Physician
  • Provo, UT
  • NPI 1174778450
  NPD (past)
• Joseph M Johnson, MD

  • Pediatrics Physician
  • Provo, UT
  • NPI 1427126192
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1942588082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD",
            "address_2": "STE 9C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-377-4800",
            "fax_number": "801-377-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N FREEDOM BLVD",
            "address_2": "STE 9C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-377-4800",
            "fax_number": "801-377-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH J. CLAYTON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "ORD",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-377-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "152622-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550480776008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Kayser, DO, MPH
• Siera Kee
• Clarissa Noel Keesler
• Uputaua Keil
• Emily Keister, HSW
• Mark Keller, LCSW
• Megan Nicole Keller
• Daniel Garrett Kelley, CSW
• Randall James Kelley, D.M.D.
• Kelly a Gomez DPM PC

• Pediatrics Physician in Provo, UT
• Providers in Provo, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.