Clyde C. Vanterpool, M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CLYDE C. VANTERPOOL, M.D., P.A.

Practice address

6801 US Highway 27 N Ste C4
Sebring, FL 33870-1000

Phone

(863) 991-9060

Fax

(863) 991-9069

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Calenso VanterpoolNPI 1114987641

Title

Owner

Phone

(863) 991-9060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clyde Calenso Vanterpool, MD

  • Surgery Physician
  • Sebring, FL
  • NPI 1114987641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1437516689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9034",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338720134",
            "telephone_number": "863-991-9060",
            "fax_number": "863-991-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N STE C4",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701000",
            "telephone_number": "863-991-9060",
            "fax_number": "863-991-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE C. VANTERPOOL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "VANTERPOOL",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "CALENSO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-991-9060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377470800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Timothy Clark, P.A-C
• Robert T Clark Sr., D.C.
• Teryl Lashawnn Clark, M.S.
• Angela Click
• Jane Sorrells Cline
• CMS Irrv Complex Trust
• Coast Dental P.a.
• Coastal Orthopedic Center
• Coastal Orthopedic Center
• McKenna Cobb, APRN

• Surgery Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.