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CLINTON FIDONE
NPI 1700644317
Student in an Organized Health Care Education/Training Program in Conroe, TX

Active since March 08, 2024PECOS Enrolled
925 CITY CENTRAL AVE, CONROE, TX 77304(936) 202-5202 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinton Fidone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON FIDONE (NPI 1700644317) is an individual student in an organized health care education/training program in Conroe, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700644317
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCLINTON FIDONE
Location Address925 CITY CENTRAL AVEConroe, TX 77304-2981
Mailing Address15210 County Road 164Tyler, TX 75703-7027
Phone(936) 202-5202
Sole ProprietorNo
Enumeration DateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1700644317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
925 CITY CENTRAL AVE, Conroe, TX 77304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Fidone is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIRAG RAJENDRA MISTRY
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202
MUHAMMAD HASHIR JAMAL
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202
MR. CESAR ANTONIO RAMIREZ ULLOA
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202
MS. MICHAELA GRUDZINSKI
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5291
JULIA STEPHEN
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202
SONIA PATEL
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202
OMAR YOUSUF AHMED
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202
MARC RAPHAEL
Student in an Organized Health Care Education/Training Program
925 CITY CENTRAL AVE
CONROE, TX 77304
Montgomery County (936) 202-5202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Fidone's NPI number?

The NPI number for Clinton Fidone is 1700644317. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Clinton Fidone located?

Clinton Fidone practices at 925 City Central Ave, Conroe, TX 77304. The listed phone number is (936) 202-5202.

What is Clinton Fidone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Clinton Fidone enrolled in Medicare?

Yes. Clinton Fidone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clinton Fidone was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.