CLYDE SYDNEY MARTIN (NPI# 1346324977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346324977 |
| Entity Type | Individual |
| Full Name | CLYDE SYDNEY MARTIN |
| Credential | MD |
| Practice Address |
119 Epperson St Athens TN 37303-3478 |
| Mailing Address |
119 Epperson St Po Box 726 Athens TN 37303-3478 |
| Practice Telephone | 4237457500 |
| Practice Fax Number | 4237457501 |
| Mailing Telephone | 4237457500 |
| Mailing Fax Number | 4237457501 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD0000012786 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 37363 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457892267 | Clyde Donald Martin IIi | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-03-13 |
| 1184604670 | Clyde Donald Martin Jr. | Nurse Anesthetist, Certified Registered | 87 Mcgregor St, Ste. 1400, Manchester, NH 03102-3765 | 2006-01-19 |
| Street Address |
119 EPPERSON ST |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
| 1467078840 | Jessica L Acker | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2020-06-22 |
| 1295366987 | Kala Grant | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2020-01-31 |
| 1144874165 | Elizabeth Thompson | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2019-07-29 |
| 1962954362 | Qin Zou | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2016-11-01 |
| 1760815450 | Kristen Rogers Harris | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2013-08-16 |
| 1679805493 | Kidzcare Pediatrics, Pllc | Clinic/Center | 119 Epperson St, Athens, TN 37303-3478 | 2010-02-03 |
| 1093958563 | Jennifer A Flynt | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952739484 | Limestone Urology Associates | Urology | 101 Fitness Way Ste 2300, Athens, AL 35611-2480 | 2013-10-18 |
| 1568642767 | Mark A Adams | Urology | 957 Baxter Street, Athens, GA 30606 | 2007-11-06 |
| 1972625432 | Kristin Elizabeth Lowe | Urology | 75 Hospital Dr Ste 250, Athens, OH 45701-2866 | 2007-04-04 |
| 1174628127 | Catherine Bath Schwender | Urology | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2006-09-14 |
| 1780651489 | Adam Christopher Stage | Urology | 1701 S Palestine St Ste A, Athens, TX 75751-5739 | 2006-03-02 |
| 1902804784 | Gary Richard Walton | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| 1083268783 | Georgia Urology, Pa | Urology | 120 Trinity Pl, Athens, GA 30607-2100 | 2019-07-31 |
| 1073957783 | Samuel Belknap | Urology | 2142 W Broad St Ste 200, Athens, GA 30606 | 2013-04-24 |
| 1578803755 | Athens Area Urology, PC | Urology | 2142 W Broad St Ste 200, Athens, GA 30606 | 2013-02-25 |
| 1508180324 | Matthew C Steele | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2010-03-23 |
| Find all providers in ATHENS | ||||
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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.