Clayton W Straughn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0045796 Issued in MD

Practice address

4404 Queensbury Rd
Suite 130
Riverdale, MD 20737-1068

Phone

(240) 260-0230

Fax

(240) 260-0219

NPI assigned

Nov 9, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Clayton W Straughn MD PA

  • Clinic/Center
  • Riverdale, MD
  • NPI 1629159066
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1992875488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD",
            "address_2": "SUITE 130",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371068",
            "telephone_number": "240-260-0230",
            "fax_number": "240-260-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD",
            "address_2": "SUITE 130",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371068",
            "telephone_number": "240-260-0230",
            "fax_number": "240-260-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUGHN",
        "first_name": "CLAYTON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0045796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310501600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "270043232",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "G622",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosette Sontia
• Southern Maryland Medical Group LLC
• Toyosi Olabisi Sowemimo
• Spectrum of Hope-Health Wellness and Community Services
• Katia R Stewart, M.D.
• Kimberly Street, P.T.
• Saritha Sudharsun
• Risikat Sulaimon
• Michael Eric Summerfield, M.D.
• Supportive Care of Maryland LLC

• Family Medicine Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.