Dr. Debra S Clyde , MD
General Practice • Cedarville, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Debra Clyde has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Debra Clyde, MD was a registered General Practice practicing in Cedarville, CA. Throughout an active medical career spanning 12 years, Dr. Clyde provided care at the practice location at 741 NORTH MAIN STREET until profile deactivation on 2018-07-25.
Practice Location & Contact Primary Location
741 North Main Street
Cedarville, CA 96104
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Cedarville, CA
Practicing in Cedarville, CA (2300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 25, 2018
NPI status registered as active in NPPES database
Registered at 25989 BARBER CUT OFF RD NE, KINGSTON, WA 983468455 (Tel: 3603773776)
Registered at PO BOX 960, BREMERTON, WA 983370212 (Tel: 3603773776)
Recorded as DEBRA CLYDE, MD
Family Medicine (License #MD 60612974 in WA)
NPI status registered as active in NPPES database
Registered at 741 NORTH MAIN STREET, CEDARVILLE, CA 96104 (Tel: 5302796111)
Registered at 741 NORTH MAIN STREET, P.O. BOX 246, CEDARVILLE, CA 96104 (Tel: 5302796111)
Recorded as DEBRA CLYDE, MD
General Practice (License #G86850 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
741 North Main Street, P.o. Box 246
Cedarville, CA 96104
Phone: 5302796111
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