DR. CLYDE H BELGRAVE (NPI# 1114032497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114032497 |
| Entity Type | Individual |
| Full Name | DR. CLYDE H BELGRAVE |
| Credential | M.D. |
| Practice Address |
830 Chalkstone Ave Providence RI 02908-4734 |
| Mailing Address |
Po Box 716 Wakefield RI 02880-0716 |
| Practice Telephone | 4014573013 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD10936 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
830 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
| 1881295277 | Johnna Bussiere | Nurse's Aide | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-11-03 |
| 1770196578 | Caroline Sophie Holman | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-31 |
| 1104437458 | Vivian Vang | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-11 |
| 1841800604 | Wilcania Baez | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-06 |
| 1609484757 | Stephen Soonbeom Kwon | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1972111029 | Keenan Sandouk | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1952919011 | Yumna Arif | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1760009518 | Hassan Saada | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-28 |
| 1952927675 | Susannah Kondrath | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093910606 | Ricky D Grisson II | Pathology | 117 Ellenfield St Ste 101, Providence, RI 02905-4541 | 2007-06-15 |
| 1932296910 | Ariel Goldschmidt | Pathology | 48 Orms St, Providence, RI 02904-2222 | 2006-10-09 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1477176444 | Shaza Ben Khadra | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-25 |
| 1548883606 | Lance Van Truong | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-24 |
| 1356964936 | Fazilet Yilmaz | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-18 |
| 1558928721 | Lee Michael Cross | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-23 |
| 1336706696 | Abigail L Alexander | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-22 |
| 1548826167 | Mehran Najibi Kohnehshahri | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-20 |
| 1891351524 | Jennifer Lynn Mingrino | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-17 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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| 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.