GARY MARC MCCLERNAN (NPI# 1154393445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154393445 |
| Entity Type | Individual |
| Full Name | GARY MARC MCCLERNAN |
| Credential | DPM |
| Practice Address |
14741 Waterway Dr Hudson FL 34667 |
| Mailing Address |
14741 Waterway Dr Hudson FL 34667-3258 |
| Practice Telephone | 7274321919 |
| Mailing Telephone | 7274321919 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2389 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019585300 | 05 | |
| FL | INDIVIDUAL MCARE PTAN | 65368Z | 01 |
| FL | GROUP RR | DS9118 | 01 |
| AL | RR MCARE IND PTAN | DS9118 | 01 |
| FL | GROUP MCARE PTAN | FS503A | 01 |
| FL | STATE LICENSE | PO2389 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2232 Willowbrook Dr, Clearwater, FL 337646743 | 7275310223 | 7275384877 |
| Street Address |
14741 WATERWAY DR |
| City | HUDSON |
| State | FL |
| Zip Code | 34667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346511839 | Gary M Mcclernan Dpm Pa | Podiatrist | 14741 Waterway Dr, Hudson, FL 34667-3258 | 2012-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699955989 | Thomas D Stelnicki Dpm Pa | Podiatrist | 7509 State Road 52 Ste 130, Hudson, FL 34667-6787 | 2007-11-05 |
| 1255477105 | Thomas D Stelnicki | Podiatrist | 7509 St Rt 52, Hudson, FL 34667 | 2007-01-29 |
| 1679662092 | Ronald Alan Stein | Podiatrist | 1315 Corporate Dr, Suite B, Hudson, OH 44236-4453 | 2006-10-12 |
| 1720195662 | Wayne Alan Lawrence | Podiatrist | 1340 Hunting Hollow Dr, Hudson, OH 44236-2265 | 2006-08-24 |
| 1942265061 | Perrin D Edwards | Podiatrist | 751 Warren St, Hudson, NY 12534-3016 | 2006-04-20 |
| 1720084619 | Lawrence J Kales | Podiatrist | 7117 State Road 52, Hudson, FL 34667-6708 | 2005-06-24 |
| 1316327935 | Alexis Kreplick | Podiatrist | 7117 State Road 52, Hudson, FL 34667-6708 | 2015-06-09 |
| 1457608325 | Alexander John Pappas | Podiatrist | 7544 Jacque Rd, Hudson, FL 34667-7162 | 2012-08-10 |
| 1346511839 | Gary M Mcclernan Dpm Pa | Podiatrist | 14741 Waterway Dr, Hudson, FL 34667-3258 | 2012-01-16 |
| 1770763864 | Associated Foot Specialists,pc | Podiatrist | 439 Main St, Hudson, MA 01749-1855 | 2007-11-06 |
| Find all providers in HUDSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.