CLYDE S FISH (NPI# 1326148297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326148297 |
| Entity Type | Individual |
| Full Name | CLYDE S FISH |
| Credential | DPM |
| Practice Address |
469 Centerville Rd Suite 105 Warwick RI 02886-4354 |
| Practice Telephone | 4017389200 |
| Practice Fax Number | 4017389400 |
| Mailing Telephone | 4017389200 |
| Mailing Fax Number | 4017389400 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DPM00208 | RI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | CP19363 | 05 |
| Street Address |
469 CENTERVILLE RD SUITE 105 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233824 | Radiology Associates Inc | Radiology | 469 Centerville Rd, Suite 103, Warwick, RI 02886-4354 | 2005-05-27 |
| 1558852343 | Katherine Andrews | Counselor | 469 Centerville Rd, Warwick, RI 02886-4354 | 2018-05-29 |
| 1255872206 | Brightside Behavioral Health, LLC | Counselor | 469 Centerville Rd, Suite 101, Warwick, RI 02886-4354 | 2017-03-10 |
| 1871041491 | Centerville Podiatry LLC | Podiatrist | 469 Centerville Rd, Ste 105, Warwick, RI 02886-4354 | 2016-09-12 |
| 1639540826 | Camille M Moonsammy | Nurse Practitioner | 469 Centerville Rd, Warwick, RI 02886-4354 | 2015-10-13 |
| 1639447899 | Kazuya Kurokawa | Pharmacist | 469 Centerville Rd, #106, Warwick, RI 02886-4354 | 2011-12-02 |
| 1396028197 | Ritesh Amitkumar Shah | Pharmacist | 469 Centerville Rd, Suite 106, Warwick, RI 02886-4354 | 2011-09-28 |
| 1396028478 | Gaetano B Piccirillo Jr. | Pharmacist | 469 Centerville Rd, Suite# 106, Warwick, RI 02886-4354 | 2011-09-24 |
| 1477883825 | New England Medical Office | Pediatrics | 469 Centerville Rd, Suite 102, Warwick, RI 02886-4354 | 2010-01-07 |
| 1568611481 | John T. Coletti,dds,ltd | Dentist | 469 Centerville Rd, Suite 107, Warwick, RI 02886-4354 | 2008-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| 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 |
|---|---|---|---|---|
| 1679891444 | Bruce D. Fischer Dpm LLC | Podiatrist | 9 Ronald Reagan Blvd, Warwick, NY 10990-4115 | 2010-05-04 |
| 1710506456 | Joseph Alexander Creswell | Podiatrist | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-04-13 |
| 1295362093 | Emily Lewson | Podiatrist | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-03-24 |
| 1851556328 | Tammy L Van Dine | Podiatrist | 1087 Warwick Ave, Warwick, RI 02888-3545 | 2008-07-24 |
| 1851444194 | Kent County Podiatry Associates | Podiatrist | 1050 Warwick Ave, Warwick, RI 02888-3655 | 2007-01-19 |
| 1427158898 | George M Moniz | Podiatrist | 469 Centerville Rd, Suite 105, Warwick, RI 02886-4354 | 2006-09-25 |
| 1962421404 | Peter James Lewis | Podiatrist | 1050 Warwick Ave, Warwick, RI 02888-3655 | 2006-07-18 |
| 1275528549 | Robert E Gallucci | Podiatrist | 400 Bald Hill Rd, Ste 503, Warwick, RI 02886-1617 | 2005-09-13 |
| 1215920327 | Foot & Ankle Institute of New | Podiatrist | 400 Bald Hill Rd, Ste 503, Warwick, RI 02886-1617 | 2005-08-24 |
| 1245238385 | Stephen J Rogers | Podiatrist | 400 Bald Hill Rd, Ste 503, Warwick, RI 02886-1617 | 2005-07-12 |
| Find all providers in WARWICK | ||||
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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.