Clyde Earl Guthrow, Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101032458 Issued in VA

Practice address

1330 Oak LN
Suite 203
Lynchburg, VA 24503-2513

Phone

(434) 947-5959

Fax

(434) 384-1293

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619996741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 OAK LN",
            "address_2": "SUITE 203",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032513",
            "telephone_number": "434-947-5959",
            "fax_number": "434-384-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAK LN",
            "address_2": "SUITE 203",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032513",
            "telephone_number": "434-947-5959",
            "fax_number": "434-384-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHROW, JR.",
        "first_name": "CLYDE",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101032458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.