DR. SUSAN M CLAYTOR


Address: 115 Atrium Way, Suite 120, Columbia, SC 29223-6371
Phone: 8037366466

DR. SUSAN M CLAYTOR (NPI# 1568421725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568421725
Entity Type Individual
Full Name DR. SUSAN M CLAYTOR
Credential M.D.
Practice Address 115 Atrium Way
Suite 120
Columbia
SC 29223-6371
Practice Telephone 8037366466
Practice Fax Number 8037368476
Mailing Telephone 8037366466
Mailing Fax Number 8037368476
Enumeration Date 2006-03-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
12583 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 125830 05

Office Location

Street Address 115 ATRIUM WAY
SUITE 120
City COLUMBIA
State SC
Zip Code 29223-6371

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477544112 Randall S Colby Medical Genetics 115 Atrium Way, Suite 120, Columbia, SC 29223-6371 2005-11-02
1184274714 Emily Neger Psychologist 115 Atrium Way, Suite 221, Columbia, SC 29223-6383 2019-09-16
1841732385 Adroit Medical Durable Medical Equipment & Medical Supplies 115 Atrium Way, Ste 224 A, Columbia, SC 29223-6371 2016-11-15
1659774636 Sandra G. Mccloy Psychologist 115 Atrium Way, Suite 221, Columbia, SC 29223-6371 2014-10-03
1578986923 Lake Psychological Services, LLC Psychologist 115 Atrium Way, Suite 221, Columbia, SC 29223-6383 2014-01-21
1356606578 Kelsey Kata Physical Therapist 115 Atrium Way, Suite 232, Columbia, SC 29223-6371 2012-07-13
1982918777 Leigh Kristen Womack Physical Therapist 115 Atrium Way, Suite 232, Columbia, SC 29223-6371 2010-08-04
1225275936 William Joseph Sullivan Physical Therapist 115 Atrium Way, Ste 232, Columbia, SC 29223-6371 2009-01-16
1952491490 Carolina Physical Therapy and Sports Medicine, Inc. Physical Medicine & Rehabilitation 115 Atrium Way, Suite 232, Columbia, SC 29223-6383 2006-10-13
1730275504 C L Ballew Physical Medicine & Rehabilitation 115 Atrium Way, Suite 232, Columbia, SC 29223-6383 2006-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619522794 Timothy Drew Edwards Dentist 122 N. Brickyard Rd, Columbia, SC 29223 2019-08-06
1861983249 Southern Pain Specialists Physical Medicine & Rehabilitation 115 Blarney Dr Ste 111, Columbia, SC 29223 2018-05-22
1710481452 Evans Counseling and Consulting, LLC Social Worker 120 Wildewood Park Dr Ste A, Columbia, SC 29223 2018-03-19
1750824819 Marquita Heyward Counselor 1 Winsor Cove Suite 303, Columbia, SC 29223 2016-11-22
1578015509 Carolina Family Pharmacy, LLC Pharmacy 9153 Two Notch Road, Columbia, SC 29223 2016-10-25
1225485170 Lisa Diaz Occupational Therapy Assistant 7601 Parlane Rd, Columbia, SC 29223 2016-05-20
1295199859 Sarah Ann Riley Nurse Practitioner Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 2016-04-11
1134583214 Sara Alisha Pound Behavioral Analyst 97b Winterberry Ln, Columbia, SC 29223 2016-04-05
1508227653 Lucy Elvira Vicioso-harris Counselor 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 2016-03-17
1134585243 Robin Heaton Occupational Therapy Assistant 7601 Parklane Road, Columbia, SC 29223 2016-01-05
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346401189 Rose - Marie St Jean Sylla Pediatrics 5209 Eliots Oak Rd, Columbia, MD 21044-1826 2008-06-24
1174695670 Kenneth M. Klebanow, M.d. & Associates, P.a. Pediatrics 8821 C0lumbia 100 Pkwy, Columbia, MD 21045 2006-11-14
1063528305 Aruna V Khurana Pediatrics 10804 Hickory Ridge Rd, Columbia, MD 21044-3622 2006-08-21
1164487955 Mojibola Olayinka Solaja Pediatrics 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 2006-04-18
1184016941 South Carolina Pediatrics Alliance, LLC Pediatrics 601 Clemson Rd, Columbia, SC 29229-4341 2015-03-03
1396991741 John Khoury Pediatrics 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 2008-08-15
1033322318 Lisa D. Monsees Pediatrics 401 N Keene St, Columbia, MO 65201-6625 2007-05-07
1376683391 Medogun Pa Pediatrics 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 2007-02-07
1609940790 Aneesh Kumar Tosh Pediatrics 404 N Keene St Ste 101, Columbia, MO 65201-6626 2006-11-20
1326143611 Jacqueline A Brown Pediatrics 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 2006-09-13
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Competitor

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City COLUMBIA
Zip Code 29223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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