CLYDE H. WILSON (NPI# 1366509259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366509259 |
Entity Type | Individual |
Full Name | CLYDE H. WILSON |
Credential | M.D. |
Practice Address |
3223 1st Avenue South Suite C Seattle WA 98134 |
Practice Telephone | 2066243651 |
Practice Fax Number | 2066242391 |
Mailing Telephone | 2066243651 |
Mailing Fax Number | 2066242391 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2009-03-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD000031471 | WA | Allopathic & Osteopathic Physicians |
Street Address |
3223 1ST AVENUE SOUTH SUITE C |
City | SEATTLE |
State | WA |
Zip Code | 98134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
1861907008 | Norman Fuller | Counselor | 1700 Airport Way S., Seattle, WA 98134 | 2017-12-11 |
1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
1811399223 | Alexandra Zigman | Physical Therapist | 2245 3rd Avenue South, Seattle, WA 98134 | 2014-09-17 |
1427467257 | Soar Academies | Local Education Agency (LEA) | 210 S Hudson, Seattle, WA 98134 | 2014-08-06 |
1730514449 | Vanessa G Schmidt | Counselor | 2133 3rd Avenue, Ets Reach, Seattle, WA 98134 | 2013-09-12 |
1932544152 | Anne Vickars Heidbrink | Registered Nurse | 3rd Ave South, Seattle School District, Seattle, WA 98134 | 2013-05-01 |
1003156324 | West Coast Behavioral Consultants Inc Dba Blueprints | Behavioral Analyst | 910 S. Horton St., Unit 703, Seattle, WA 98134 | 2013-02-22 |
1306194998 | George Butchko | Pharmacist | 4401 Fourth Ave S, Seattle, WA 98134 | 2012-08-29 |
1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
Find all providers in zip 98134 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932358744 | Ann Tu | Preventive Medicine | Oem Program, 325 9th Ave, Box 359739, University of Washington, Seattle, WA 98104 | 2008-09-17 |
1841270311 | U.S. Healthworks Medical Group of Arkansas, Inc. | Preventive Medicine | 1100 Virginia St, Suite 215, Seattle, WA 98101-1439 | 2006-01-19 |
1750363214 | Fernando Diego Proano | Preventive Medicine | 10618 2nd Ave Sw, Seattle, WA 98146-1560 | 2005-11-18 |
1821598111 | Healthstat Onsite Clinic Hbo-seattle | Preventive Medicine | 1099 Stewart St Ste 900, Seattle, WA 98101-2161 | 2018-02-14 |
1780978601 | Demitris P Haldeos | Preventive Medicine | 3223 1st Ave S, Seattle, WA 98134-1850 | 2011-06-08 |
1265676480 | Carly Marie Eckert | Preventive Medicine | 325 9th Ave, Seattle, WA 98104-2420 | 2009-05-01 |
1508009150 | Nicholas K Reul | Preventive Medicine | 325 9th Ave, Seattle, WA 98104-2420 | 2009-04-13 |
1992928030 | Ralph T Golan | Preventive Medicine | 7522 20th Ave Ne, Seattle, WA 98115-4402 | 2007-04-10 |
1972605376 | Stephen Carl Hunt | Preventive Medicine | 1660 S Columbian Way, Va Puget Sound, Seattle, WA 98108-1532 | 2006-09-05 |
1346251626 | Gabrielle Morris | Preventive Medicine | 1151 Denny Way, Seattle, WA 98109-5326 | 2006-08-11 |
Find all providers in SEATTLE |
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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.