Active NPI
Clyde H. Dorr, MD
- Obstetrics & Gynecology Physician
- Pensacola, FL
National Provider Identifier
1326088584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME92339
- Practice address
- 5045 Carpenter Creek Dr
Pensacola, FL 32503-2521 - Phone
- (850) 416-2400
- Fax
- (850) 416-2467
- NPI assigned
- Jun 7, 2006
- Last updated
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME92339 | FL | Primary |
Addresses
Primary practice location
5045 Carpenter Creek Dr
Pensacola, FL 32503-2521
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255346500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Ut Physicians | Past | Accepting new patients | |
| Ut Physicians | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1326088584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-7800",
"fax_number": "850-416-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 CARPENTER CREEK DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032521",
"telephone_number": "850-416-2400",
"fax_number": "850-416-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORR",
"first_name": "CLYDE",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME92339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255346500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.