MICHAEL E MCCLURE MD NPI 1093891400

NPI Information

NPI: 1093891400
Provider Name: MICHAEL E MCCLURE, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2501 N ORANGE AVE STE 411
ORLANDO, FL
ZIP 32804
Phone: (251) 665-8150
Get Directions

Michael E Mcclure, MD is a plastic and reconstructive surgery surgery in Orlando, FL with 21 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Michael E Mcclure, MD NPI is 1093891400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2003

The provider's business location address is:

2501 N ORANGE AVE STE 411
ORLANDO, FL
ZIP 32804-644
Phone: (251) 665-8150
Fax: (251) 665-8155

The NPI 1093891400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		3675849	ALABAMA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	ME104923	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09157347	MEDICAID	MISSISSIPPI
2	51592825	OTHER	ALABAMA	575 STANTON RD
3	51593305	OTHER	ALABAMA	2451 FILLINGIM
4	51592621	OTHER	ALABAMA	BCBS - 1720 CENTER ST
5	51592834	OTHER	ALABAMA	3401 MED PK DR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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