CLYDE M. PENCE


Address: 8333 N Davis Hwy, Pensacola, FL 32514-6050
Phone: 8504748121

CLYDE M. PENCE (NPI# 1669458113) 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) 1669458113
Entity Type Individual
Full Name CLYDE M. PENCE
Credential MD
Practice Address 8333 N Davis Hwy
Pensacola
FL 32514-6050
Mailing Address Po Box 5576
Belfast
ME 04915-5500
Practice Telephone 8504748121
Practice Fax Number 8504748096
Mailing Telephone 8504748121
Mailing Fax Number 8504748096
Enumeration Date 2005-12-16
Last Update Date 2014-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
ME36307 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 065065000 05
AETNA 5904025 01
AL 009935449 05
FL BLUE CROSS BLUE SHIELD 17471 01

Office Location

Street Address 8333 N DAVIS HWY
City PENSACOLA
State FL
Zip Code 32514-6050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851394613 Donald M Dewey Orthopaedic Surgery 8333 N Davis Hwy, Pensacola, FL 32514-6050 2005-05-24
1114528312 Lucas Braden Heitman Physician Assistant 8333 N Davis Hwy, Pensacola, FL 32514-6050 2020-11-04
1093328056 Alyssa Haley Audiologist 8333 N Davis Hwy, Pensacola, FL 32514-6050 2020-08-28
1568074995 Andrew Bean Pharmacist 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 2020-08-18
1942810072 Martha Davault Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6050 2020-08-04
1144855958 Nicole Chase Adams Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6049 2020-03-12
1093352619 Danielle Tozzo Physician Assistant 8333 N Davis Hwy, Pensacola, FL 32514-6049 2019-12-02
1104475235 Aryn Del Valle Physician Assistant 8333 N Davis Hwy, Pensacola, FL 32514-6050 2019-09-11
1649731415 Vanessa Enriquez Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6050 2019-03-26
1881165652 Jessica Christine Byrd Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6049 2018-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568920643 Cameron Rae Mackey Student in an Organized Health Care Education/Training Program 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 2019-03-07
1083182612 B & B of Pensacola LLC Home Health 2024 E Olive Rd, Pensacola, FL 32514 2018-11-13
1902398423 Chana Levy Developmental Therapist 10080 Hillview Dr # 387b, Pensacola, FL 32514 2018-05-31
1629407663 James Daniel Langston Registered Nurse 8383 North Davie Highway, Pensacola, FL 32514 2013-11-08
1174956197 Valerie Kuloba Pharmacist 9251 University Parkway, Pensacola, FL 32514 2013-08-13
1548550924 Pamela Lynn Trammel Nurse Practitioner 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 2011-04-19
1659609378 Michael Smith Physical Therapy Assistant 10100 Hillveiw Dr., Pensacola, FL 32514 2009-11-19
1154582906 Karen Buchanan Bailey Dentist 2322 Copter Road, Pensacola, FL 32514 2008-06-24
1811181985 Sandra Paquingan Kloman Registered Nurse 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 2007-08-31
1083826523 Renfroe Spinal Center LLC Chiropractor 1421 East Nine Mile Rd, Pensacola, FL 32514 2007-05-04
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790761245 George B. Antonious Internal Medicine 8333 N Davis Hwy Fl 2, Pensacola, FL 32514-6050 2005-12-16
1376545566 Humam Humeda Internal Medicine 1619 Creighton Rd, Ste 1, Pensacola, FL 32504-7152 2005-06-01
1649273327 Edward L Friedland Internal Medicine 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2005-05-24
1023290475 Douglas Scott Keith Internal Medicine 5149 N 9th Ave, Pensacola, FL 32504-8756 2007-11-28
1194846923 Derek Jimenez Internal Medicine 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2007-04-02
1659482784 Thomas L Curry Internal Medicine 4451 Bayou Blvd, Pensacola, FL 32503 2006-08-31
1841265253 Haitham O Qader Internal Medicine 1619 Creighton Rd, Suite 1, Pensacola, FL 32504-7152 2006-02-20
1821074378 Linda L Stallings Internal Medicine 8333 N Davis Hwy, Pensacola, FL 32514-6050 2005-12-16
1477539914 Nephrology Associates of The Gulf Coast, Pa Internal Medicine 8333 N Davis Hwy, Pensacola, FL 32514-6050 2005-12-16
1730177429 Nicholas A Nagrani Internal Medicine 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2005-10-07
Find all providers in PENSACOLA

Competitor

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City PENSACOLA
Zip Code 32514

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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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