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Deactivated NPI 1730185224 Deactivated / Inactive NPI Male Practitioner

Dr. Keith Joseph Clayton , MD

Specialist • Provo, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Clayton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2005
NPI Deactivation Date May 11, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Clayton, MD was a registered Specialist practicing in Provo, UT. Throughout an active medical career spanning 15 years, Dr. Clayton provided care at the practice location at 1675 N 200 W until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

1675 N 200 W
Ste 9c

Provo, UT 846046931

Telephone 8013774800
Fax 8013774041
Associated Practice Facility / Clinic
🏢 Frank A Siddoway Od Pc Facility NPI 1073786505

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 33.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Provo, UT (427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License UT 04343

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1174778450

Doctor of Osteopathic Medicine (D.O.)

NPI 1427126192

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 11, 2020

Record deactivated on May 11, 2020

NPI Profile Active July 15, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2011

Registered at 1675 N 200 W, STE 9C, PROVO, UT 846046931 (Tel: 8013774800)

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Updated Business Mailing Address July 15, 2011

Registered at 1675 N 200 W, STE 9C, PROVO, UT 846046931 (Tel: 8013774800)

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Provider Name / Credentials Updated July 15, 2011

Recorded as KEITH CLAYTON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2011

Specialist (License #04343 in UT)

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Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730185224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2005
Last Update: July 15, 2011
Deactivation Date: May 11, 2020

Mailing Address

1675 N 200 W, Ste 9c

Provo, UT 846046931

Phone: 8013774800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.