Clyde Allen Knecht, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5285 Issued in MT

Practice address

403 Utah Ave
Libby, MT 59923

Phone

(406) 293-8321

Fax

(406) 293-8584

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2010.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1295823979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 UTAH AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "59923",
            "telephone_number": "406-293-8321",
            "fax_number": "406-293-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 UTAH AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "59923",
            "telephone_number": "406-293-8321",
            "fax_number": "406-293-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "CLYDE",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "5285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054990",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Katzer, LCPC
• Sharon Kay Kawasaki, DPT
• Niomi M Keller, MPT
• Carol J. Kelly, MA, LCPC
• Peter Kitts, FNP-C
• Kirsten A. Koenig, LCPC
• Kootenai Counseling & Consulting
• Kootenai Family Dentistry
• Kootenai Valley Head Start
• Kootenai Vision Centers PC

• All providers in Libby, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.