Active NPI
Corey Thompson Clyde, M.D.
- Orthopaedic Hand Surgery Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD471262
- Practice address
- 170 N Pointe Blvd
Lancaster, PA 17601-4132 - Phone
- (717) 299-4871
- Fax
- (717) 391-2494
- NPI assigned
- Apr 7, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD471262 | PA | Primary |
Addresses
Primary practice location
170 N Pointe Blvd
Lancaster, PA 17601-4132
Mailing address
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
Other practice location 1
1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Phone (717) 299-4871
Other practice location 2
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871
Other practice location 3
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
1701 Cornwall Rd
Suite 200
Lebanon, PA 17042-7480
Phone (717) 299-4871
212 Willow Valley Lakes Dr
Suite 201
Willow Street, PA 17584-9668
Phone (717) 299-4871
2913 Spooky Nook Rd
Manheim, PA 17545-9149
Phone (717) 299-4871
Hospital & facility affiliations
- Lancaster General Hospital
- Wellspan Ephrata Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Assoc of Lancaster LTD | Hand Surgery | Current | Accepting new patients |
| Orthopedic Assoc of Lancaster LTD | Hand Surgery | Current | Accepting new patients |
Locations
170 N Pointe Blvd
Lancaster, PA 17601
1701 Cornwall Rd
Ste 200
Lebanon, PA 17042
2913 Spooky Nook Rd
Ste 100
Manheim, PA 17545
212 Willow Valley Lakes Dr
Ste 201
Willow Street, PA 17584
Interoperability endpoints
- cclyde213490@direct-lghealth.org
- cclyde@ubortho.medentdirect.com
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.
-
- Orthopaedic Surgery Physician
- Lancaster, PA
- NPI 1609835933
Hand Surgery
-
- Orthopaedic Surgery Physician
- Ephrata, PA
- NPI 1245934686
Hand Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1770979635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871",
"fax_number": "717-517-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
}
],
"practiceLocations": [
{
"address_1": "1701 Cornwall Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427480",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2913 Spooky Nook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459149",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Willow Valley Lakes Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849668",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLYDE",
"first_name": "COREY",
"middle_name": "THOMPSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "PA",
"license": "MD471262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.