DR. CLYDE E SMITH (NPI# 1053365809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053365809 |
| Entity Type | Individual |
| Full Name | DR. CLYDE E SMITH |
| Credential | M.D. |
| Practice Address |
27 Medical Center Dr Jackson TN 38301-3949 |
| Practice Telephone | 7314241001 |
| Mailing Telephone | 7314241001 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
08897 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3172162 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342830 | Clyde R Smith | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2019-05-23 |
| 1003399668 | Clyde Smith | Behavior Technician | 1730 W Walnut Ave Ste A, Visalia, CA 93277-6233 | 2018-09-10 |
| 1881822302 | Clyde J. Smith IIi | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2009-06-23 |
| 1235222449 | Clyde L Smith | Internal Medicine | 640 Centre St, Jamaica Plain, MA 02130 | 2006-10-02 |
| 1104917202 | Clyde D. Smith | Surgery | 305 Mallard Ln, Taylor, TX 76574-1208 | 2006-09-27 |
| 1164530416 | Clyde Wendell Smith | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-28 |
| 1891777280 | Clyde W Smith | Radiology | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2005-11-19 |
| 1881676526 | Clyde Rufus Smith IIi | Family Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2005-11-17 |
| Street Address |
27 MEDICAL CENTER DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104877703 | Medical Specialty Clinic P.C. | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-16 |
| 1679047146 | Kelley Lumley | Nurse Practitioner | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2019-01-17 |
| 1538431309 | Elizabeth S Davis | Nurse Practitioner | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2012-02-08 |
| 1649467218 | Mihir K. Patel | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2007-09-27 |
| 1053514141 | Brittain Douglas Little | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2007-06-07 |
| 1437373248 | Skyline Endoscopy Center, L.L.C. | Clinic/Center | 27 Medical Center Dr, Suite 2, Jackson, TN 38301-3949 | 2007-04-12 |
| 1427144997 | Andrea Tomasek Grimball | Physician Assistant | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-10-04 |
| 1629025697 | Daniel Kayal | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-27 |
| 1356393078 | Robert Hollis | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649469743 | Central Clinic, PC | Internal Medicine | 603 Lansing Ave, Jackson, MI 49202-3209 | 2007-10-15 |
| 1780713966 | Jackson Oncology Associates, Pllc | Internal Medicine | 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 | 2007-03-05 |
| 1346379500 | Jackson Oncology Associates,pllc | Internal Medicine | 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 | 2007-03-05 |
| 1639119589 | Justin T Baker | Internal Medicine | 1227 N State St Ste 101, Jackson, MS 39202-2002 | 2006-06-08 |
| 1093779456 | Omar Ahmad | Internal Medicine | 36 Sandstone Cir, Suite A & B, Jackson, TN 38305-2098 | 2006-04-13 |
| 1235101437 | Gary G Shi | Internal Medicine | 617 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-02-02 |
| 1144290032 | Brian N Walker | Internal Medicine | 322 Hospital Blvd, Jackson, TN 38305 | 2006-01-24 |
| 1740284389 | Van L Lackey | Internal Medicine | 1227 N State St, Ste 101, Jackson, MS 39202-2002 | 2005-06-10 |
| 1407393374 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1740607225 | West Clinic, P.C. | Internal Medicine | 322 Hospital Blvd, Jackson, TN 38305-2079 | 2014-03-24 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DR. CLYDE E SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.