ROBERT CLENDENIN (NPI# 1427436088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427436088 |
| Entity Type | Individual |
| Full Name | ROBERT CLENDENIN |
| Credential | MD |
| Practice Address |
432 N Broadway Ave Shawnee OK 74801-6922 |
| Mailing Address |
93 S Jackson St # 98961 Seattle WA 98104-2818 |
| Practice Telephone | 4055628380 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
10884 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684415 | Robert Eli Clendenin IIi | Internal Medicine | 4230 Harding Pike, Suite 1000, Nashville, TN 37205-2013 | 2005-07-22 |
| Street Address |
432 N BROADWAY AVE |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927408 | Classen Family Practice LLC | Physician Assistant | 432 N Broadway Ave, Shawnee, OK 74801-6922 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902930209 | Glenn Koester, M.d., P.C. | Dermatology | 3863 S Boulevard St Ste 200, Edmond, OK 73013-5540 | 2007-03-16 |
| 1790892461 | Glenn Alan Koester | Dermatology | 3863 S. Boulevard, Edmond, OK 73034 | 2006-08-25 |
| 1285924837 | Graham Dermatology Center, P.C. | Dermatology | 307 E Danforth Rd, Suite 154, Edmond, OK 73034-4483 | 2011-04-17 |
| 1710195003 | Travis Wayne Blalock | Dermatology | 619 Ne 13th St, Oklahoma City, OK 73104-5001 | 2007-05-18 |
| 1417007139 | Eric Wyatt | Dermatology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2007-01-12 |
| 1457360646 | James Benton Stewart Jr. | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 | 2006-08-05 |
| 1982658167 | Abbott Dermatology P C | Dermatology | 3500 S Western Ave, Oklahoma City, OK 73109-2413 | 2006-05-20 |
| 1487621413 | Mary Melissa Morgan | Dermatology | 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012-5940 | 2006-03-08 |
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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.