CLYDE MAXWELL HUTCHINSON (NPI# 1609876739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609876739 |
| Entity Type | Individual |
| Full Name | CLYDE MAXWELL HUTCHINSON |
| Credential | M.D. |
| Practice Address |
611 Alcorn Dr Suite 200 Corinth MS 38834-9321 |
| Practice Telephone | 6622876913 |
| Mailing Telephone | 6622876913 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 07569 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009963070 | 05 | |
| MS | 00115192 | 05 | |
| AL | BCBS | 730-01061 | 01 |
| Street Address |
611 ALCORN DR SUITE 200 |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122305 | Caitlin Bridget Corker Relph | Pharmacist | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-22 |
| 1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
| 1114544590 | Abdalaziz Tabash | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1750908315 | Tara George | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-30 |
| 1154947398 | Chelsey Danielle Stewart | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-23 |
| 1548884687 | Laura Kay Hanson | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477560050 | James C Gilmore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr Ste 200, Corinth, MS 38834-9323 | 2006-08-03 |
| 1023280872 | Magnolia Cardiovascular and Thoracic Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr Ste 200, Corinth, MS 38834-9323 | 2008-04-01 |
| 1356534622 | North Point Cardiovascular and Thoracic Surgery Clinic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9368 | 2007-08-21 |
| 1568457828 | Billy D Parsons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588939581 | William Lawson Safley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11078 Channelside Dr, Gulfport, MS 39503-6049 | 2012-03-09 |
| 1932400769 | Stewart Allen Nutting | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6716 Alewa Pl, Diamondhead, MS 39525-3429 | 2010-11-10 |
| 1922285378 | Coast Cardiothoracic Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1308 44th Ave, Gulfport, MS 39501-2552 | 2008-01-29 |
| 1407072747 | Robert P. N. Shearin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 308 Hillchase Dr, Madison, MS 39110-8841 | 2007-04-17 |
| 1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| 1114021722 | Robert G Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3603 Bienville Blvd, Suite 103, Ocean Springs, MS 39564-5727 | 2006-09-12 |
| 1114036290 | David A Geer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1400 20th Ave, Suite F, Meridian, MS 39301-4111 | 2006-08-30 |
| 1740203199 | Hazem Barmada | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1155 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-07-26 |
| 1629078746 | David Smith Talton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 | 2005-07-29 |
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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.