CLYDE H. WILSON


Address: 3223 1st Avenue South, Suite C, Seattle, WA 98134
Phone: 2066243651

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3223 1ST AVENUE SOUTH
SUITE C
City SEATTLE
State WA
Zip Code 98134

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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
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Taxonomy Information

Taxonomy Code 2083P0500X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Preventive Medicine/Occupational Environmental Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SEATTLE
Zip Code 98134

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Dataset Information

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.

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