CLYDE ANDERSON III (NPI# 1285181222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285181222 |
| Entity Type | Individual |
| Full Name | CLYDE ANDERSON III |
| Practice Address |
2103 Campus Village Ave Apt 3 Saginaw MI 48604-8805 |
| Practice Telephone | 8109654642 |
| Mailing Telephone | 8109654642 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083803076 | Clyde Wayne Anderson | Psychologist | 3424 Monitor Ln, Tallahassee, FL 32312-1516 | 2007-10-16 |
| Street Address |
2103 CAMPUS VILLAGE AVE APT 3 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-8805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1215559778 | Beverlyn C Omejia | Student in an Organized Health Care Education/Training Program | 832 Big Sky Ln, Saginaw, TX 76131-4948 | 2020-05-07 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1649729716 | Jordyn Troy | Student in an Organized Health Care Education/Training Program | 4509 Alura Pl, Saginaw, MI 48604-1031 | 2016-09-29 |
| 1346799756 | Ariana Feltson | Student in an Organized Health Care Education/Training Program | 2310 California Ave, Saginaw, MI 48601-5300 | 2016-09-27 |
| 1386192292 | Kaitlyn Carter | Student in an Organized Health Care Education/Training Program | 2215 Pierce Rd Apt 110, Saginaw, MI 48604-8795 | 2016-09-20 |
| 1528458437 | Gregory Westerman | Student in an Organized Health Care Education/Training Program | 1191 N Frost Dr, Saginaw, MI 48638-5454 | 2015-01-30 |
| 1033116900 | Kathy A Bonner | Student in an Organized Health Care Education/Training Program | 5710 Stroebel Rd, Saginaw, MI 48609-5277 | 2005-07-06 |
| Find all providers in SAGINAW | ||||
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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.