CLYDE C VANTERPOOL MD PA (NPI# 1437516689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437516689 |
Entity Type | Organization |
Organization Name | CLYDE C VANTERPOOL MD PA |
Practice Address |
4151 Sun N Lake Blvd Sebring FL 33872-2131 |
Mailing Address |
4151 Sun N Lake Blvd Po Box 9034 Sebring FL 33872-2131 |
Practice Telephone | 8634020881 |
Practice Fax Number | 8633149600 |
Mailing Telephone | 8634020881 |
Mailing Fax Number | 8633149600 |
Enumeration Date | 2016-01-19 |
Last Update Date | 2016-01-19 |
Authorized Official Name | CLYDE CALENSO VANTERPOOL (OWNER) |
Authorized Official Telephone | 8634020881 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | ME67760 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 377470800 | 05 |
Street Address |
4151 SUN N LAKE BLVD |
City | SEBRING |
State | FL |
Zip Code | 33872-2131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
1922024850 | Roger Lee Wittum | Internal Medicine | 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 | 2006-07-14 |
1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
Find all providers in zip 33872 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558767285 | Vito Urso | Specialist | 3210 Lakeview Dr Apt 87, Sebring, FL 33870-7927 | 2014-11-06 |
1912346677 | Surgical Center At Sun N Lake Anesthesia, LLC | Specialist | 2367 Us Highway 27 S, Sebring, FL 33870-4926 | 2013-06-17 |
1538338991 | Diana Deane Carr | Specialist | 131 Us Highway 27 N, Sebring, FL 33870-2100 | 2008-02-29 |
1295946689 | Cheryl S Martz | Specialist | 227 Kite Ave, Sebring, FL 33870-6718 | 2007-05-25 |
1003025354 | Terri C Johns | Specialist | 1123 Us Highway 27 S, Sebring, FL 33870-2171 | 2007-05-22 |
1508899402 | Gary Montsdeoca | Specialist | 4343 Sun N Lake Blvd, Suite B, Sebring, FL 33872-2162 | 2006-07-07 |
1386687630 | Fernando Rivabem | Specialist | 3600 South Highlands Ave., Sebring, FL 33870 | 2006-06-14 |
1245271626 | Sebring Neurology Clinic Pa | Specialist | 3220 Physicians Way, Sebring, FL 33870-5447 | 2006-06-09 |
1184674988 | Jose R Thomas-richards | Specialist | 3750 Emergency Ln, Suite 1, Sebring, FL 33870-5536 | 2006-05-11 |
1265426225 | Yvette M Mccrea-ryan | Specialist | 9 Ryant Blvd, Sebring, FL 33872-4075 | 2005-09-07 |
Find all providers in SEBRING |
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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.