DR. CLYDE FREDERICK HOLLON (NPI# 1669589388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669589388 |
| Entity Type | Individual |
| Full Name | DR. CLYDE FREDERICK HOLLON |
| Credential | M.D. |
| Practice Address |
801 W 5th Ave Suite 518 Spokane WA 99204-2823 |
| Mailing Address |
5447 S Quail Ridge Cir Spokane WA 99223-6390 |
| Practice Telephone | 5097473147 |
| Practice Fax Number | 5097470020 |
| Mailing Telephone | 5094431183 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD000131151 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L& I NUMBER | 14965 | 01 |
| WA | RRB | 340011680 | 01 |
| WA | 8249906 | 05 |
| Street Address |
801 W 5TH AVE SUITE 518 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989759 | John G Gollhofer | Obstetrics & Gynecology | 801 W 5th Ave, Suite 412, Spokane, WA 99204-2823 | 2005-08-17 |
| 1558774638 | Tanya Jean Karg | Audiologist-Hearing Aid Fitter | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2014-06-06 |
| 1609186121 | Cardiology Associates of Spokane LLC | Internal Medicine | 801 W 5th Ave, Suite 323, Spokane, WA 99204-2823 | 2010-10-18 |
| 1205147659 | Jason D. Roos | Otolaryngology | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2010-06-30 |
| 1740431840 | Spokane Medical Imaging Inc | Specialist | 801 W 5th Ave, Suite 205, Spokane, WA 99204-2823 | 2008-10-07 |
| 1790947661 | Sarah Janine Kaldor | Counselor | 801 W 5th Ave, Suite 422, Spokane, WA 99204-2823 | 2008-07-01 |
| 1487813374 | Kidney Care Spokane, P.s. | Internal Medicine | 801 W 5th Ave, Suite 509, Spokane, WA 99204-2823 | 2008-06-05 |
| 1679745905 | Spokane Brain & Spine, Ps | Neurological Surgery | 801 W 5th Ave, Suite 210, Spokane, WA 99204-2823 | 2008-03-26 |
| 1114196466 | Allan Christopher Heller | Neurological Surgery | 801 W 5th Ave, Suite #525, Spokane, WA 99204-2823 | 2008-02-20 |
| 1063696946 | Spokane Audiology Clinic, Inc. | Audiologist | 801 W 5th Ave, Dmob Suite 112, Spokane, WA 99204-2823 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| 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 |
|---|---|---|---|---|
| 1679665293 | Steven Vaughn Silverstein | Urology | 801 W 5th Ave Ste 404, Spokane, WA 99204-2841 | 2006-09-29 |
| 1710930607 | Raymond S. Lance | Urology | 1401 E Trent Ave Ste 200, Spokane, WA 99202-2902 | 2006-05-19 |
| 1861767121 | Michael Anthony Maccini | Urology | 1401 E Trent Ave Ste 200, Spokane, WA 99202-2902 | 2012-03-19 |
| 1518253988 | Shane M. Pearce | Urology | 1401 E Trent Ave Ste 200, Spokane, WA 99202-2902 | 2011-06-23 |
| 1033343298 | Michelle A Gupta | Urology | 101 W 8th Ave Ste 100, Spokane, WA 99204 | 2009-05-03 |
| 1013196864 | Jonathan Frank Kalisvaart | Urology | 101 W 8th Ave, Suite 100, Spokane, WA 99204-2307 | 2007-10-29 |
| 1659567774 | Steven V. Silverstein, M.d., P.C. | Urology | 801 W 5th Ave Ste 404, Spokane, WA 99204-2841 | 2007-09-21 |
| 1467645820 | Spokane Urology, P.s. | Urology | 235 E Rowan Ave, Suite 202, Spokane, WA 99207-1240 | 2007-08-20 |
| 1801088661 | Spokane Urology, P.s. | Urology | 235 E Rowan Ave, Suite 202, Spokane, WA 99207-1240 | 2007-08-15 |
| 1942427471 | Levi Deters | Urology | 1401 E Trent Ave Ste 200, Spokane, WA 99202-2902 | 2007-04-19 |
| Find all providers in SPOKANE | ||||
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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.