KEITH J. CLAYTON, M.D., P.C. (NPI# 1942588082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942588082 |
| Entity Type | Organization |
| Organization Name | KEITH J. CLAYTON, M.D., P.C. |
| Practice Address |
1675 N Freedom Blvd Ste 9c Provo UT 84604 |
| Practice Telephone | 8013774800 |
| Practice Fax Number | 8013774041 |
| Mailing Telephone | 8013774800 |
| Mailing Fax Number | 8013774041 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | MRS. TRACEY LYNNE ORD (OFFICE MANAGER) |
| Authorized Official Telephone | 8013774800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 152622-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 550480776008 | 05 |
| Street Address |
1675 N FREEDOM BLVD STE 9C |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912991738 | Northwest Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 1675 N Freedom Blvd, Ste 12 C, Provo, UT 84604-2540 | 2005-09-08 |
| 1851693808 | Russell James Bailey | Psychologist | 1675 N Freedom Blvd, Suite 2b2, Provo, UT 84604-2540 | 2010-11-24 |
| 1174778450 | Matthew Joseph Clayton | Pediatrics | 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604-2540 | 2008-11-30 |
| 1932353539 | Now I Can Foundation | Clinic/Center | 1675 N Freedom Blvd, Suite 10b, Provo, UT 84604-2540 | 2008-11-10 |
| 1639321540 | Elizabeth Ann Jensen | Physical Therapist | 1675 N Freedom Blvd, Building 10b, Provo, UT 84604-2540 | 2008-10-22 |
| 1336364629 | Darren Wesley Gardner | Dentist | 1675 N Freedom Blvd, Ste 12a, Provo, UT 84604-2540 | 2007-04-13 |
| 1184847063 | New Horizon Women's Care, LLC | Internal Medicine | 1675 N Freedom Blvd, Suite 3, Provo, UT 84604-2540 | 2007-04-10 |
| 1336219906 | Kent Blad | Nurse Practitioner | 1675 N Freedom Blvd, Bldg 3, Provo, UT 84604-2540 | 2006-11-09 |
| 1194824201 | Provo Dialysis Center University of Utah | Clinic/Center | 1675 N Freedom Blvd, Provo, UT 84604-2540 | 2006-09-22 |
| 1265452163 | Damon Monson Faust | Chiropractor | 1675 N Freedom Blvd, 7a, Provo, UT 84604-2540 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1063723708 | Joshua Darrell Fuller | Pediatrics | 1675 N Freedom Blvd Ste 3, Provo, UT 84604-6927 | 2010-06-28 |
| 1740243971 | Christian Yanez Herrera | Pediatrics | 3824 N Little Rock Lane, Provo, UT 84604-5234 | 2006-04-10 |
| 1245290295 | Ronald C Jones | Pediatrics | 3325 N University Ave, Ste 100, Provo, UT 84604-4465 | 2006-03-24 |
| 1811956352 | Pediatric Care Inc | Pediatrics | 1675 N. Freedom Blvd., #3, Provo, UT 84604 | 2006-03-22 |
| 1922494889 | Douglas James Later | Pediatrics | 1055 N 300 W Ste 311, Provo, UT 84604-3373 | 2015-04-07 |
| 1124319314 | Aaron Wise Mccoy | Pediatrics | 1355 N University Ave Ste 210, Provo, UT 84604-2721 | 2011-04-22 |
| 1346531597 | Stevie Michelle Rowe | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2011-04-22 |
| 1497078075 | Jennifer Marie Zalla | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2010-03-10 |
| 1730413295 | Matthew Paul Steinfeldt | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2009-09-30 |
| Find all providers in PROVO | ||||
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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.