MEDICARE: CLAYMOTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	01062446A	IN

General Provider Information

NPI Number	:	1972998821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAYMOTH LLC

Provider Business Mailing Address
First Line	:	1101 CUMBERLAND XING
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-2356
Country	:	US
Telephone Number	:	219-267-1996
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 CUMBERLAND XING
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-2356
Country	:	US
Telephone Number	:	219-267-1996
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	SWATHI MOTHKUR
Credential	:	MD
Telephone Number	:	219-267-1996

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	05/19/2015

Similar Medicare Providers

1952651408 — VALERIE PEREZ PSYD/ HSPP
Practice Location Address:

1101 CUMBERLAND XING STE 108
VALPARAISO, IN
46383-2356

Practice Phone: 866-413-1988
Practice Fax: 866-628-8599

1174562656 — JOEL MARK SCHUMACHER M.D.
Practice Location Address:

1105 CUMBERLAND XING
VALPARAISO, IN
46383-2356

Practice Phone: 219-440-4835
Practice Fax: 866-699-6936

1366679789 — CARISSE CORNS DDS
Practice Location Address:

1111 CUMBERLAND XING
VALPARAISO, IN
46383-2356

Practice Phone: 219-286-6148
Practice Fax: 219-286-6149

1265759054 — TIMOTHY ALAN FITZGERALD DPM
Practice Location Address:

1101 CUMBERLAND XING # 262
VALPARAISO, IN
46383-2356

Practice Phone: 219-299-4643
Practice Fax: 219-267-1720

1730473133 — HEATHER H HRADEK DDS
Practice Location Address:

1105 CUMBERLAND XING
VALPARAISO, IN
46383-2356

Practice Phone: 219-256-5615
Practice Fax:

1447664404 — GROWING SMILES PEDIATRIC DENTISTRY PC
Practice Location Address:

1111 CUMBERLAND XING
VALPARAISO, IN
46383-2356

Practice Phone: 219-286-6148
Practice Fax: 219-286-6149

Directions to “CLAYMOTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.