DR. FREDERICK PAUL CLAYTON


Address: 4619 Kanawha Ave Sw, South Charleston, WV 25309
Phone: 3044004545

DR. FREDERICK PAUL CLAYTON (NPI# 1992945745) 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) 1992945745
Entity Type Individual
Full Name DR. FREDERICK PAUL CLAYTON
Credential MD
Practice Address 4619 Kanawha Ave Sw
South Charleston
WV 25309
Mailing Address 4619 Kanawha Ave Sw
South Charleston
WV 25309-1319
Practice Telephone 3044004545
Practice Fax Number 4234087405
Mailing Telephone 3044004545
Mailing Fax Number 4234087405
Enumeration Date 2009-03-05
Last Update Date 2018-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 0101250904 VA Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 49045 TN Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
27999 WV Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
0101250904 VA Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
49045 TN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
24530 Falcon Place Blvd, Suite 101, Abingdon, VA 242117665 2766193876 2766193877

Office Location

Street Address 4619 KANAWHA AVE SW
City SOUTH CHARLESTON
State WV
Zip Code 25309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841218872 Tamejiro Takubo Jr. Internal Medicine 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2006-07-17
1962028738 Heath Collin Barnette Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2020-06-17
1114573417 Kelsey Strickland Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2019-08-13
1538712138 Yezenia Soto Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2019-07-23
1477114221 Caitlin Johnson Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2019-06-24
1568958619 Joshua Chase Anderson Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2018-07-02
1801270749 Jeremy Lee Smith Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2015-07-09
1083056345 Jamie Spencer Nurse Practitioner 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2013-07-26
1679893036 James D. Perry Internal Medicine 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2010-06-09
1629262944 Phillip Cox Internal Medicine 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2007-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699376905 Lovie Bradshaw Technician 4823 Tennessee St., South Charleston, WV 25309 2020-11-03
1306447735 Barbara Mackenzie Technician 4224 Kanawha Turnpike, South Charleston, WV 25309 2020-11-03
1548861974 Sarah Nichols Technician 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 2020-11-03
1629690177 Jennifer Mabry-goins Technician 4505 River Avenue, S Charleston, WV 25309 2020-05-07
1811537715 Brandon C Dean Psychologist 4857 Macorkle Ave. Sw, South Charleston, WV 25309 2020-01-09
1467096057 Linda Mullins Technician 60 Hayvon Lane, South Charleston, WV 25309 2019-11-06
1831743616 Ann Myriah Beck Nurse Practitioner 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 2019-07-30
1942671227 Edward W Eskew Family Medicine 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 2015-10-13
1720468218 Link Investments LLC Pharmacy 5151 Macorkle Avenue, South Charleston, WV 25309 2015-06-01
1366840951 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 304 Southbridge Blvd., S.ccharleston, WV 25309 2014-12-12
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447257787 Emad A Kowatli Internal Medicine 500 Poplar St, Suite 204, South Charleston, WV 25309-1474 2005-07-01
1114124799 Pulmonary Associates of Char LLC Internal Medicine 4619 Kanawha Ave., Sw, South Charleston, WV 25309 2007-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427549039 United Hospital Center, Inc. Internal Medicine 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 2018-05-21
1447400759 Peter H Abbrecht Internal Medicine 1352 Steamboat Run Rd, Shepherdstown, WV 25443-4005 2008-09-23
1952429706 Michael William Blatt M D Inc Internal Medicine 2101 Jacob St Ste 702, Wheeling, WV 26003-3844 2007-03-27
1730205162 Attila A. Lenkey, Jr. M.d. Internal Medicine 2101 Jacob St Ste 502, Wheeling, WV 26003-3800 2007-03-21
1841331105 Houssein Abbass Youness Internal Medicine 41 Andalusian Dr, Unit85, Martinsburg, WV 25405-5600 2007-02-09
1982756094 Mallinath Kayi Internal Medicine 401 Division St Ste 305, Charleston, WV 25309-1455 2007-01-17
1235229246 Brijinder S Kochhar Internal Medicine 2950 Pennsylvania Ave, Weirton, WV 26062-3765 2006-10-13
1922105139 Robert B Altmeyer M D Inc Internal Medicine 1131 National Road, Wheeling, WV 26003 2006-09-20
1275643314 Melvin Theodore Saludes Internal Medicine 426 8th St Ste 305, Glen Dale, WV 26038-1451 2006-08-30
1548378276 Narayana N Reddy Internal Medicine 800 Grand Central Mall Ste 4, Vienna, WV 26105-4100 2006-08-25
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Competitor

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City SOUTH CHARLESTON
Zip Code 25309

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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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