Active NPI
Clyde Maxwell Hutchinson, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Corinth, MS
National Provider Identifier
1609876739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 07569
- Practice address
- 611 Alcorn Dr
Suite 200
Corinth, MS 38834-9321 - Phone
- (662) 287-6913
- NPI assigned
- Jul 29, 2005
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 07569 | MS | Primary |
Addresses
Primary practice location
611 Alcorn Dr
Suite 200
Corinth, MS 38834-9321
Mailing address
611 Alcorn Dr
Suite 200
Corinth, MS 38834-9321
Phone (662) 287-6913
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115192 | Medicaid | MS | |
| 009963070 | Medicaid | AL | |
| 730-01061 | Other | AL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Past | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1154533321
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1053469486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1609876739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 ALCORN DR",
"address_2": "SUITE 200",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349321",
"telephone_number": "662-287-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 ALCORN DR",
"address_2": "SUITE 200",
"city": "CORINTH",
"state": "MS",
"postal_code": "388349321",
"telephone_number": "662-287-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "CLYDE",
"middle_name": "MAXWELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MS",
"license": "07569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115192",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009963070",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "730-01061",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.