Provider Demographics
NPI:1477509206
Name:CLAYMAN, JEFFREY OWEN (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:OWEN
Last Name:CLAYMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ONE ESSEX CENTER DRIVE
Mailing Address - Street 2:LAHEY CLINIC - PEABODY
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960
Mailing Address - Country:US
Mailing Address - Phone:978-538-4200
Mailing Address - Fax:978-538-4200
Practice Address - Street 1:ONE ESSEX CENTER DRIVE
Practice Address - Street 2:LAHEY CLINIC PEABODY
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960
Practice Address - Country:US
Practice Address - Phone:978-538-4200
Practice Address - Fax:978-538-4200
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA211111207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075967AMedicaid
MA000112404Medicare PIN