DR. CLYDE COLUMBUS MATHISON II (NPI# 1154505428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154505428 |
| Entity Type | Individual |
| Full Name | DR. CLYDE COLUMBUS MATHISON II |
| Credential | MD |
| Practice Address |
144 Concord Rd Dept Of Farragut TN 37934-2901 |
| Mailing Address |
Farragut Ent & Allergy 144 Concord Road Knoxville TN 37934-0001 |
| Practice Telephone | 8657771727 |
| Practice Fax Number | 8659660942 |
| Mailing Telephone | 8657771727 |
| Mailing Fax Number | 8659660942 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 47129 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1523167 | 05 |
| Street Address |
144 CONCORD RD DEPT OF |
| City | FARRAGUT |
| State | TN |
| Zip Code | 37934-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622396 | Ear, Nose & Throat Specialists of Nashville At Goodlettsville | Otolaryngology | 3050 Business Park Cir Ste 101, Goodlettsville, TN 37072-3588 | 2017-07-18 |
| 1386011468 | Wiliam Gray Davis | Otolaryngology | 5709 Hearthstone Ln, Brentwood, TN 37027-4313 | 2015-08-25 |
| 1598059545 | Daniel Sacks | Otolaryngology | 4601 Carothers Pkwy Ste 215, Franklin, TN 37067-6003 | 2011-06-07 |
| 1821231572 | John Heaphy | Otolaryngology | Vumc Dept of Oto Med Ctr East South Tower, 1215 21st Avenue South, Suite 7209, Nashville, TN 37232-8605 | 2009-04-10 |
| 1023262466 | Alexander Gelbard | Otolaryngology | Vanderbilt Voice Ctr, 1215 21rst Ave. South. Suite 7302, Nashville, TN 37232-8783 | 2008-11-12 |
| 1699938886 | Jonathan P Hayes | Otolaryngology | 9430 Park West Blvd Ste 330, Knoxville, TN 37923-4203 | 2008-07-08 |
| 1780869735 | Denneny Ent Consultants, Pllc | Otolaryngology | 101 E Blount Ave Ste G10, Knoxville, TN 37920-1637 | 2008-01-08 |
| 1326242975 | David Allen Gilpin | Otolaryngology | 2301 21st Ave S Ste 300, Nashville, TN 37212-4946 | 2007-06-14 |
| 1407057276 | Mid-south Ear, Nose, and Throat, P.C. | Otolaryngology | 7600 Wolf River Blvd Ste 220, Germantown, TN 38138-1788 | 2007-05-30 |
| 1356542476 | Grant T Rohman | Otolaryngology | 100 W 4th St Ste 200, Cookeville, TN 38501-2452 | 2007-05-29 |
| Find all providers with the same taxonomy | ||||
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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.