CLYDEEVE A SHREVE (NPI# 1225129117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225129117 |
| Entity Type | Individual |
| Full Name | CLYDEEVE A SHREVE |
| Credential | DPM |
| Practice Address |
5640 Wasatch Dr Suite F Ogden UT 84403-4902 |
| Practice Telephone | 8013927507 |
| Practice Fax Number | 8013930725 |
| Mailing Telephone | 8013927507 |
| Mailing Fax Number | 8013930725 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 101694-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DEMERK PROVIDER ID | 5177150001 | 01 |
| UT | RR MEDICARE PROVIDER ID | P00100541 | 01 |
| Street Address |
5640 WASATCH DR SUITE F |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346398518 | Burdett Dental, P.C. | Dentist | 5640 Wasatch Dr, Suite D, Ogden, UT 84403-4902 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093791311 | Chantel B Murrah | Podiatrist | 3590 Harrison Blvd, # G1, Ogden, UT 84403-2060 | 2005-12-19 |
| 1316360522 | Chantel B. Murrah, Dpm. Phd | Podiatrist | 3590 Harrison Blvd, #g1, Ogden, UT 84403-2060 | 2014-01-23 |
| 1437401932 | Steven Jones Wideman | Podiatrist | 3590 Harrison Blvd, #g-1, Ogden, UT 84403-2060 | 2012-10-08 |
| 1114224805 | Wasatch Podiatry Pllc | Podiatrist | 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 | 2011-02-16 |
| 1538318951 | Paul Ballard Clayton | Podiatrist | 4403 Harrison Blvd, Suite 2835, Ogden, UT 84403-3271 | 2008-09-09 |
| 1003946823 | Ihc Health Services Inc | Podiatrist | 4403 Harrison Blvd, #2835, Ogden, UT 84403-3271 | 2007-03-07 |
| 1144200155 | Lorell B Fawson | Podiatrist | 3590 Harrison Blvd, G1, Ogden, UT 84403 | 2006-01-18 |
| 1316935117 | Kelly S Stagg | Podiatrist | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-10-06 |
| 1013905819 | Kevin G Walker | Podiatrist | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589258 | Valley Foot & Ankle | Podiatrist | 777 N 500 W Ste 103, Provo, UT 84601-1552 | 2018-08-24 |
| 1821514191 | Foot & Ankle Institute of Utah LLC | Podiatrist | 3584 W 9000 S Ste 301, West Jordan, UT 84088-5711 | 2017-08-18 |
| 1447771993 | Ihc Health Services Inc | Podiatrist | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1043745987 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 150 N Main St Ste 202, Heber City, UT 84032-1671 | 2017-04-28 |
| 1205214053 | Elizabeth Tronstein | Podiatrist | 8822 S Redwood Rd Ste E121, West Jordan, UT 84088-5763 | 2015-05-13 |
| 1063807485 | Salt Lake Foot and Ankle Pllc | Podiatrist | 315 W Reed Ave, Unit 1, Salt Lake City, UT 84103-1492 | 2015-04-02 |
| 1881091601 | Ingrown Toenails Only | Podiatrist | 4019 W 12600 S Ste 120b, Riverton, UT 84096-7401 | 2014-11-21 |
| 1750794533 | Scott Humpherys, Dpm Inc | Podiatrist | 1355 N. University Ave, #125, Provo, UT 84604-2722 | 2014-06-09 |
| 1508115080 | Richard Eason Dpm PC | Podiatrist | 2269 W Bonanza Ct, South Jordan, UT 84095-8903 | 2012-08-30 |
| 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.