MR. JERRY JAMES CLAYVILLE (NPI# 1215010939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215010939 |
| Entity Type | Individual |
| Full Name | MR. JERRY JAMES CLAYVILLE |
| Credential | CRNP |
| Practice Address |
223 Phillip Morris Dr Salisbury MD 21804-1923 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4105481747 |
| Practice Fax Number | 4105483783 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R057554 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
223 PHILLIP MORRIS DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932182359 | Melinda Castillo Maranan | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2005-11-21 |
| 1437310497 | Francis Anthony Celeste | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2008-06-23 |
| 1275700015 | Three Lower Counties Community Services, Inc. | Clinic/Center | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2008-05-12 |
| 1427250836 | Doreen A. Kyere | Obstetrics & Gynecology | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2007-06-05 |
| 1801925342 | Jodi Lynn Meyers | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2007-03-02 |
| 1114002565 | Stephen Michael Cooper | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-10-26 |
| 1770548919 | Daniel Robert Eisemann | Obstetrics & Gynecology | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-19 |
| 1538123146 | Richelle L Healey | Physician Assistant | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-12 |
| 1588643738 | Bruce Charles Winnacott | Obstetrics & Gynecology | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1477893899 | Ashley Marie Honeycutt | Nurse Practitioner | 129 Woodson St, Salisbury, NC 28144 | 2013-02-21 |
| 1912241860 | Christine Tanner Perdue | Nurse Practitioner | 1415 Wesley Dr, Salisbury, MD 21801 | 2012-11-15 |
| 1356699680 | Marcia Barnes | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5422 | 2012-08-16 |
| 1508087388 | Jane Marie Devine | Nurse Practitioner | 211 Maryland Ave, Salisbury, MD 21801-5805 | 2007-05-01 |
| 1053419812 | Aubrie Norris Cornelius | Nurse Practitioner | 129 Woodson St, Salisbury, NC 28144-3255 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1699234393 | Stacey Lyn Williams | Nurse Practitioner | 1122 Gypsy Ln W, Towson, MD 21286-1404 | 2019-03-13 |
| Find all providers with the same taxonomy | ||||
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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.