DR. HARRIE ROBERT CLYDE (NPI# 1700853629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700853629 |
Entity Type | Individual |
Full Name | DR. HARRIE ROBERT CLYDE |
Other Name | DR. H ROBERT CLYDE |
Credential | MD |
Practice Address |
1600 W Chandler Blvd #160c Chandler AZ 85224-6100 |
Practice Telephone | 4808991696 |
Practice Fax Number | 4809636227 |
Mailing Telephone | 4808991696 |
Mailing Fax Number | 4809636227 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 11161 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 23989901 | 05 |
Street Address |
1600 W CHANDLER BLVD #160C |
City | CHANDLER |
State | AZ |
Zip Code | 85224-6100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801883640 | Ramvinay S Seddabattula | Internal Medicine | 1600 W Chandler Blvd, Suite 160, Chandler, AZ 85224-6153 | 2005-10-05 |
1740899699 | Britney Linzy | Counselor | 1600 W Chandler Blvd, Chandler, AZ 85224-6153 | 2020-07-27 |
1407130925 | Odyssey Infusions | Internal Medicine | 1600 W Chandler Blvd, Suite 160, Chandler, AZ 85224-6153 | 2011-10-03 |
1609157197 | Synergy Infectious Disease | Internal Medicine | 1600 W Chandler Blvd, Suite 160, Chandler, AZ 85224-6153 | 2011-08-29 |
1578890794 | Jill Nutt | Radiologic Technologist | 1600 W Chandler Blvd, Suite 230, Chandler, AZ 85224-6153 | 2009-11-09 |
1881716645 | Absolute Family Dentistry | Clinic/Center | 1600 W Chandler Blvd, Suite #100, Chandler, AZ 85224-6153 | 2007-04-04 |
1033280359 | L C Grissom and Associates Pllc | Nurse Practitioner | 1600 W Chandler Blvd, Ste. 250, Chandler, AZ 85224-6153 | 2006-11-10 |
1952483976 | Michael G. Smith | Dentist | 1600 W Chandler Blvd, #100, Chandler, AZ 85224-6153 | 2006-10-19 |
1184635005 | Danielle T Putrow | Nurse Practitioner | 1600 W Chandler Blvd, Suite 250, Chandler, AZ 85224-6153 | 2006-08-10 |
1972511384 | David Scott Daley | Dentist | 1600 W Chandler Blvd, #210, Chandler, AZ 85224-6153 | 2006-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
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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 |
---|---|---|---|---|
1457580425 | Anthony J Dyer | Urology | 1455 W Chandler Blvd, Suite B-8, Chandler, AZ 85224-6128 | 2009-07-10 |
1073647533 | James R Siefer Do Plc | Urology | 485 S Dobson Rd, Suite 103, Chandler, AZ 85224-5602 | 2007-03-15 |
1891808028 | Duan Craig Copeland | Urology | 3200 S Gilbert Rd, Chandler, AZ 85286-5107 | 2006-08-15 |
1720023062 | Urologic Health Associates Plc | Urology | 1600 W Chandler Blvd, Ste 160, Chandler, AZ 85224-6153 | 2006-06-19 |
1508846627 | James R Siefer | Urology | 485 S Dobson Rd, Suite 103, Chandler, AZ 85224-5603 | 2006-01-17 |
1730180431 | Marlou B Heiland | Urology | 1455 W Chandler Blvd, Bldg B #8, Chandler, AZ 85224-6177 | 2005-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245831379 | Thayne R Larson | Urology | 11900 N 102nd St, Scottsdale, AZ 85260-5928 | 2020-11-04 |
1386250835 | Urosouth Pllc | Urology | 6369 E Tanque Verde Rd Ste 160, Tucson, AZ 85715-3833 | 2020-09-21 |
1689286049 | Urosouth Pllc | Urology | 5240 E Knight Dr Ste 108, Tucson, AZ 85712-2122 | 2020-08-18 |
1558824763 | Kyle Scott Garcia | Urology | 1501 N Campbell Ave Rm 5325, Tucson, AZ 85724-0001 | 2019-04-14 |
1154886109 | Arizona Institute of Urology Pllc | Urology | 1521 E Tangerine Rd Ste 209, Oro Valley, AZ 85755-6218 | 2019-02-04 |
1427513472 | Arizona Institute of Urology Pllc | Urology | 395 N Silverbell Rd Ste 315, Tucson, AZ 85745-2980 | 2019-02-04 |
1881159838 | Arizona Institute of Urology Pllc | Urology | 516 E Whitehouse Canyon Rd Ste 160, Green Valley, AZ 85614-0543 | 2019-02-04 |
1558879759 | Alliance Oncology of Arizona, LLC | Urology | 2525 E Arizona Biltmore Cir Ste C236, Phoenix, AZ 85016-2130 | 2018-01-22 |
1659780583 | Wilfred Morris Potter | Urology | 10801 E. Happy Valley Road, #74, Scottsdale, AZ 85255 | 2014-08-05 |
1912327198 | Kris Miguel Cajipe | Urology | 15920 S 48th St Ste 100, Phoenix, AZ 85048-1003 | 2014-04-25 |
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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.