Provider Demographics
| NPI: | 1487682043 |
|---|---|
| Name: | CLAYTOR, FRANCES MURRAY (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | FRANCES |
| Middle Name: | MURRAY |
| Last Name: | CLAYTOR |
| Suffix: | |
| Gender: | F |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 2 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GARRETT PARK |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 20896-0002 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 301-493-4200 |
| Mailing Address - Fax: | 301-493-6209 |
| Practice Address - Street 1: | 6040 SOUTHPORT DR |
| Practice Address - Street 2: | |
| Practice Address - City: | BETHESDA |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20814-1848 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 301-493-4200 |
| Practice Address - Fax: | 301-493-6209 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-06-30 |
| Last Update Date: | 2007-07-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MD | D0047957 | 2084P0800X |
| VA | 0101043024 | 2084P0800X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MD | 64163701 | Other | CAREFIRST BCBS NON PAR # |
| MD | 252502000 | Medicaid | |
| MD | G85257 | Medicare UPIN | |
| DC | 012510526 | Medicare ID - Type Unspecified | MEDICARE # |