CLYDE H. WILSON M.D. – NPI #1366509259
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

CLYDE WILSON is a physician located in SEATTLE, WA. NPPES has assigned the NPI number 1366509259 to CLYDE WILSON on January 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 17 years ago on Mar 16, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLYDE WILSON below.

NPI Profile for
CLYDE H. WILSON

NPI Number
1366509259
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLYDE H. WILSON
Credentials
M.D.
Primary location
3223 1ST AVENUE SOUTH
SUITE C
SEATTLE, WA 98134
Phone: (206) 624-3651 Fax: (206) 624-2391
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
WA MD000031471

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.