Wellformed AI

NPI 1497487698 · live from the CMS NPI Registry

Nathan Robert Clyde, DPM

Podiatrist, Foot & Ankle Surgery in Evansville, IN. National Provider Identifier 1497487698, active.

NPI record

NPI1497487698 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location3801 Bellemeade Ave Ste 110, Evansville, IN 47714
Practice phone435-757-2015
Mailing address7366 Acorn Dr, Newburgh, IN 47630
EnumeratedJune 27, 2022
Last updatedMay 18, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery213ES0103XPOD.0000964 (CO)
Podiatrist, Foot & Ankle Surgery primary213ES0103X41000458A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.