Clinicity

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME28955 Issued in FL

Legal business name

CLINICITY

Practice address

1357 Tom Still Rd
Tallahassee, FL 32305-7541

Phone

(850) 251-5688

NPI assigned

Nov 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wyatt Irvin Hendricks

Title

Coo

Phone

(850) 251-5688

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1114356680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 TOM STILL RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057541",
            "telephone_number": "850-251-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 TOM STILL RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323057541",
            "telephone_number": "850-251-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "IRVIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-251-5688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME28955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amya D Cleveland
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• Chrystina Cheree Clinton
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• Cydney Close
• Dennis C Close, DDS

• Gynecology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.