Barry A Clanton (NPI# 1083837348, PAC ID# 1355367582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083837348 |
| PAC ID by PECOS | 1355367582 |
| Professional Enrollment ID | I20120419000603 |
| Full Name | Barry A Clanton |
| Organization Legal Name | CLANTON ENTERPRISES SERIES LLC |
| Address |
75 S 200 E Suite 202 Provo UT 84606-3168 |
| Phone Number | 8013752207 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3274844683 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460001 | UTAH VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 S 200 E, Suite 202, Provo, UT 84606-3168 | 8013752207 | CLANTON ENTERPRISES SERIES LLC |
| 65 W 200, Suite 7, Spanish Fork, UT 84660-1756 | 8013752207 | CLANTON ENTERPRISES SERIES LLC |
| Organization Legal Name | CLANTON ENTERPRISES SERIES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel L Gay | Nurse Practitioner | Clanton Enterprises Series LLC | 75 S 200 E, Suite 202, Provo, UT 84606-3168 |
| Street Address |
75 S 200 E SUITE 202 |
| City | PROVO |
| State | UT |
| Zip | 84606-3168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel L Gay | Nurse Practitioner | Clanton Enterprises Series LLC | 75 S 200 E, Suite 202, Provo, UT 84606-3168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie D Taylor | Nurse Practitioner | Optimal Health Family Practice Pllc | 75 S 200, Suite 100, Provo, UT 84606-3146 |
| Alyssa Dawn Vest | Nurse Practitioner | Optimal Health Family Practice Pllc | 75 S 200, Suite 100, Provo, UT 84606-3146 |
| Elizabeth Daniels | Nurse Practitioner | Optimal Health Family Practice Pllc | 75 S 200, Suite 100, Provo, UT 84606-3146 |
| Lawrence Paul Dunning | Clinical Psychologist | Wasatch Mental Health Services Special Service District | 1165 E 300, Provo, UT 84606-3539 |
| Heidi Busch | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 1165 E 300, Provo, UT 84606-3539 |
| Elizabeth Feil | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 1165 E 300, Provo, UT 84606-3539 |
| Mac J Gilbert | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Douglas P Benson Ii | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Margaret L Gustafson | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Julia K Chasler | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Find all physicians in zip 84606 | |||
| City | PROVO |
| Zip Code | 84606 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PROVO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Barry A Clanton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.