Active NPI
Clyde S Meckstroth, D.O.
- Surgery Physician
- Wellington, FL
National Provider Identifier
1962477695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS5367
- Practice address
- 15590 Meadow Wood Dr
Wellington, FL 33414-9009 - Phone
- (561) 793-0567
- Fax
- (561) 863-2806
- NPI assigned
- Feb 17, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS5367 | FL | Primary |
Addresses
Primary practice location
15590 Meadow Wood Dr
Wellington, FL 33414-9009
Mailing address
5300 East Ave
West Palm Beach, FL 33407-2387
Phone (561) 227-5270
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS5367 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962477695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 EAST AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072387",
"telephone_number": "561-227-5270",
"fax_number": "561-863-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15590 MEADOW WOOD DR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149009",
"telephone_number": "561-793-0567",
"fax_number": "561-863-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECKSTROTH",
"first_name": "CLYDE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS5367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
- Mia Marsha McGregor, M.D.
- Lisa Dawn McKenzie, APRN
- Vincent Thomas McKilligan, R.N.
- Sherry A McQuown, MD
- Kyle Meade, PARAMEDIC
- Medcare Transitional Services LLC
- Medical Consultants of Florida LLC (MedFlorida Medical Centers)
- Medical Park Surgery Center LLC
- Medical Service Group LLC
- Medical Specialists of the Palm Beaches Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.