DR. CLAY EARL LYDDANE


Address: 3311 E Murdock St, Wichita, KS 67208-3054
Phone: 3166899185

DR. CLAY EARL LYDDANE (NPI# 1760641476) 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) 1760641476
Entity Type Individual
Full Name DR. CLAY EARL LYDDANE
Credential MD PHD
Practice Address 3311 E Murdock St
Wichita
KS 67208-3054
Practice Telephone 3166899185
Practice Fax Number 3166899909
Mailing Telephone 3166899185
Mailing Fax Number 3166899909
Enumeration Date 2008-06-06
Last Update Date 2017-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 04-35145 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS 200740730A 05

Office Location

Street Address 3311 E MURDOCK ST
City WICHITA
State KS
Zip Code 67208-3054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811987324 Bushra Sulieman Internal Medicine 3311 E Murdock St, Wichita, KS 67208-3054 2005-10-26
1770057812 Hannah Roth Physician Assistant 3311 E Murdock St, Wichita, KS 67208-3054 2019-01-11
1881167682 Megan Theresa Poell Registered Nurse 3311 E Murdock St, Wichita, KS 67208 2019-01-04
1629552484 Nichole L Fischer Nurse Practitioner 3311 E Murdock St, Wichita, KS 67208-3054 2018-09-18
1215436647 Joshua Cody Forsberg Nurse Practitioner 3311 E Murdock St, Wichita, KS 67208-3054 2018-02-12
1619484540 Kelsey Olson Licensed Practical Nurse 3311 E Murdock St, Wichita, KS 67208-3054 2017-12-31
1174045520 Genevieve Jo Gutierrez Davis Nurse Practitioner 3311 E Murdock St, Wichita, KS 67208-3054 2017-07-07
1013374990 Ascension Medical Group Via Christi, Pa Radiology 3311 E Murdock St, Wichita, KS 67208-3054 2016-01-22
1013372671 Krista Fischer Nurse Practitioner 3311 E Murdock St, Wichita, KS 67208-3054 2015-12-28
1639544992 Tressie Maugans Nurse Practitioner 3311 E Murdock St, Wichita, KS 67208-3054 2015-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598316218 Wesley Urgent Care, LLC Clinic/Center 2060 N. Mid Campus Dr., Wichita, KS 67208 2019-09-24
1023574209 Unified Care Homes, Inc. Custodial Care Facility 5705 E Rockhill, Wichita, KS 67208 2019-02-13
1164940730 Donita Hock Occupational Therapy Assistant 622 N. Edgemoor St., Wichita, KS 67208 2017-09-05
1427439546 Mental Health Association of Sck Community/Behavioral Health 555 N Woodlawn, S 3105, Wichita, KS 67208 2015-06-15
1013311430 Adrian Matta Occupational Therapy Assistant 1915 Farmstead Street, Wichita, KS 67208 2014-10-14
1700285343 Stephanie Kendrick Physical Therapist 4921 E. 21st Street North, Wichita, KS 67208 2014-08-20
1689087942 Apeksha Sathyaprasad Pediatrics 3243 E Murdock St Ste 402, Wichita, KS 67208 2014-06-04
1437418019 J. W, Leisy M.d.p.a. Psychiatry & Neurology 3310 East Douglas #101, Wichita, KS 67208 2012-05-16
1184993156 College Hill-ltc LLC Skilled Nursing Facility 5005 East 21st Street North, Wichita, KS 67208 2011-12-21
1255616132 Thane M Vaneaton Pharmacist 3333 East Central, Wichita, KS 67208 2011-10-11
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184736118 Rodney G Handsfield Urology 1130 S Clifton Ave, Wichita, KS 67218-2913 2006-08-31
1831118025 Bibiano Borromeo Ouano Jr. Urology 1431 Bluffview St Ste 216, Wichita, KS 67218-3039 2006-07-19
1457319519 Larry I Frank Urology 5500 East Kellogg Dr, Robert J Dole Va Medical Center, Wichita, KS 67218-9937 2006-05-01
1679565337 John M Donovan Urology 3243 E Murdock St Ste 500, Wichita, KS 67208 2005-08-18
1427050079 Fadi N Joudi Urology 2626 N Webb Rd, Wichita, KS 67226-8110 2005-08-12
1760825137 Jonathan Andrew Jensen Urology 2626 N Webb Rd, Wichita, KS 67226-8110 2013-04-16
1194952143 Surendra Kolla Urology 3311 E Murdock St, Wichita, KS 67208-3054 2009-06-17
1083895494 Christel Orphee Wambi- Kiesse Urology 5500 E Kellogg Dr, Wichita, KS 67218-1607 2007-11-14
1417169889 The Prostate Treatment Center Urology 1130 S Clifton Ave, Wichita, KS 67218-2913 2007-05-05
1508985417 Tim Alan Richardson Urology 2626 N Webb Rd, Wichita, KS 67226-8110 2007-03-29
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67208

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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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