CLYDE DALE ELLIOTT MD NPI 1124005673

NPI Information

NPI: 1124005673
Provider Name: CLYDE DALE ELLIOTT, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1022 1ST ST N
SUITE 500
ALABASTER, AL
ZIP 35007
Phone: (205) 663-5775
Get Directions

Clyde Dale Elliott, MD is a cardiovascular disease internal medicine in Alabaster, AL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Clyde Dale Elliott, MD NPI is 1124005673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1022 1ST ST N
SUITE 500
ALABASTER, AL
ZIP 35007-706
Phone: (205) 663-5775
Fax: (205) 664-2112

The enumeration date for this NPI number is 12/27/2005 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	6974	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	051552706	MEDICARE PIN	ALABAMA
2	C71667	MEDICARE UPIN	ALABAMA
3	051552706	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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