Provider Demographics
NPI:1396805917
Name:KLAYTON, RONALD JAY (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAY
Last Name:KLAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:98 15TH ST NW
Mailing Address - Street 2:SUITE 104 A
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-1600
Mailing Address - Country:US
Mailing Address - Phone:276-328-8910
Mailing Address - Fax:276-328-4318
Practice Address - Street 1:98 15TH ST NW
Practice Address - Street 2:SUITE 104 A
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1600
Practice Address - Country:US
Practice Address - Phone:276-328-8910
Practice Address - Fax:276-328-4318
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD040228207RP1001X
VA0101033287207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1396805917Medicaid
KY7100197920Medicaid
F76970Medicare UPIN
VAVV1544AMedicare PIN
VA1396805917Medicaid