GARY MARC MCCLERNAN DPM NPI 1154393445

NPI Information

NPI: 1154393445
Provider Name: GARY MARC MCCLERNAN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14741 WATERWAY DR
HUDSON, FL
ZIP 34667
Phone: (727) 432-1919
Get Directions

Gary Marc Mcclernan, DPM is a podiatrist in Hudson, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Gary Marc Mcclernan, DPM NPI is 1154393445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14741 WATERWAY DR
HUDSON, FL
ZIP 34667
Phone: (727) 432-1919

The NPI 1154393445 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).

The enumeration date for this NPI number is 2/2/2006 and was last updated on 6/16/2018.

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	213E00000X	Podiatrist		PO2389	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	65368Z	OTHER	FLORIDA	INDIVIDUAL MCARE PTAN
2	FS503A	OTHER	FLORIDA	GROUP MCARE PTAN
3	PO2389	OTHER	FLORIDA	STATE LICENSE
4	DS9118	OTHER	FLORIDA	GROUP RR
5	019585300	MEDICAID	FLORIDA
6	DS9118	OTHER	ALABAMA	RR MCARE IND PTAN

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: 5/5/2024

NPI Synchronization or Removal

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