John Kittrell Clyde, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO60253252 Issued in WA

Practice address

526 N Mullan Rd
Spokane Valley, WA 99206-2408

Phone

(099) 242-6005

Fax

(509) 926-9865

NPI assigned

Jul 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Inland Northwest Surgery Center PLLCGroup PAC ID 0648169094, shared by 3 NPIs, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jclyde49616@direct.valleymed.org

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.

• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  Medicare reassignment Care Compare group NPD
• Inland Northwest Surgery Center PLLC

  • Podiatrist
  • Spokane Valley, WA
  • NPI 1134127657
  Medicare reassignment NPD
• Inland Northwest Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1467637116
  Medicare reassignment NPD
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Medicare reassignment NPD
• A Home of Happy Feet PS

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1740461805
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  • General Acute Care Hospital
  • Spokane Valley, WA
  • NPI 1538345251
  Care Compare affiliation

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1831402841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N MULLAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992062408",
            "telephone_number": "509-924-2600",
            "fax_number": "509-926-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N MULLAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992062408",
            "telephone_number": "099-242-6005",
            "fax_number": "509-926-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYDE",
        "first_name": "JOHN",
        "middle_name": "KITTRELL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO60253252",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO60253252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020121",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Clement
• Dawn Cliff
• Aidan C Cline, PA-C
• Zoie Rose Cloutier
• Keenan Clovis, PTA
• Dustain Coates
• Ashlyn Mae Cobb, MSW
• William T. Cobb, M.D.
• Cochran, Ball, Lansing PLLC
• Joshua River Cochran, DMD

• Foot & Ankle Surgery Podiatrist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.

Verify at the official NPI Registry.