MR. BRETT BENSON CLAYTON (NPI# 1780839753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780839753 |
| Entity Type | Individual |
| Full Name | MR. BRETT BENSON CLAYTON |
| Credential | PA-C |
| Practice Address |
1050 W 10th St Rolla MO 65401-2905 |
| Mailing Address |
1050 W 10th St Attn: Executive Director of Physician Clinics Rolla MO 65401-2905 |
| Practice Telephone | 5733649000 |
| Practice Fax Number | 5734262108 |
| Mailing Telephone | 5733649000 |
| Mailing Fax Number | 5734262108 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1137 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507013605 | 05 | |
| MO | MEDICARE | 000015401 | 01 |
| Street Address |
1050 W 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962570 | Donald James Mcmullin | Internal Medicine | 1050 W 10th St, Rolla, MO 65401 | 2005-06-16 |
| 1366066037 | Pcrmc Medical Group, Inc | Clinic/Center | 1050 W 10th St, Rolla, MO 65401-2905 | 2020-05-29 |
| 1659857415 | Josie Leann Eoff | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2018-07-16 |
| 1659893758 | Joshua Thomas Turnbaugh | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-07-10 |
| 1700327897 | Emily Wiseman | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-03-09 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1174928857 | Arezo Hesaraki | Dentist | 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | 2014-10-23 |
| 1922416296 | Karen Ulrich | Advanced Practice Midwife | 1050 W 10th St, Rolla, MO 65401-2905 | 2014-07-30 |
| 1093142531 | Meredith Leigh Napierala | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-09-30 |
| 1528409638 | Curtis Morrison | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867397 | Lavonne M Charbonneau | Physician Assistant | 114 3rd St Ne, Rolla, ND 58367-7137 | 2005-11-10 |
| 1508472473 | Christine Genevieve Hedstrom | Physician Assistant | 114 3rd St Ne, Rolla, ND 58367-7137 | 2020-09-16 |
| 1205306156 | Marisa Ann Yates | Physician Assistant | 910 W 10th St, Rolla, MO 65409-6519 | 2018-12-03 |
| 1295268928 | Morton County Hospital | Physician Assistant | 415 Washington, Rolla, KS 67954-0098 | 2017-04-10 |
| 1780120980 | Morgan Lange | Physician Assistant | 213 2nd Ave Ne, Rolla, ND 58367-7153 | 2017-01-11 |
| 1497115497 | Di'ara Woods | Physician Assistant | 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401-2982 | 2016-03-03 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1992120281 | Adam Glenn Feigenbaum | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2014-02-24 |
| 1407195498 | Phelps Emergency Group LLC | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2013-02-11 |
| 1376880237 | Nicole Lawson | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2013-01-12 |
| Find all providers in ROLLA | ||||
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| 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.