DR. MARK DOUGLAS MCCLURE (NPI# 1164458964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164458964 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS MCCLURE |
| Credential | D.C. |
| Practice Address |
182 N Breiel Blvd Suite A Middletown OH 45042-3802 |
| Practice Telephone | 5134237855 |
| Practice Fax Number | 5134224103 |
| Mailing Telephone | 5134237855 |
| Mailing Fax Number | 5134224103 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1192 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0950958 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134570005 | Mark Mcclure | Counselor | 1741 Austin St, Klamath Falls, OR 97603 | 2016-06-22 |
| 1003166588 | Mark R Mcclure | Social Worker | 7162 Reading Rd, 400, Cincinnati, OH 45237-3838 | 2012-09-12 |
| 1063636934 | Mark Andrew Mcclure | Dentist | 12818 Tesson Ferry Rd, Suite 202, Saint Louis, MO 63128-2945 | 2007-04-12 |
| 1467533307 | Mark J Mcclure | Dentist | 6200 Baltimore Ave, Suite 200, Riverdale, MD 20737-1054 | 2006-10-18 |
| 1083627624 | Mark Warren Mcclure | Urology | 221b Professional Cir, Morehead City, NC 28557-4303 | 2006-08-14 |
| Street Address |
182 N BREIEL BLVD SUITE A |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45042-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932114659 | Mark D Mcclure Inc | Chiropractor | 182 N Breiel Blvd, Suite A, Middletown, OH 45042-3802 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1962978759 | Stephani Chandra Miller | Counselor | 160 N. Breiel Blvd, Middletown, OH 45042 | 2018-10-18 |
| 1124504378 | Butler County Community Health Consortium, Inc. | Clinic/Center | 601 N Breiel Blvd Ste B, Middletown, OH 45042 | 2018-07-11 |
| 1417474883 | Tiffany Marie Ott | Registered Nurse | 1229 Ellen Dr, Middletown, OH 45042 | 2017-08-27 |
| 1184074650 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 1909 Jackson Lane, Middletown, OH 45042 | 2016-06-15 |
| 1639529100 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4623 Central Avenue, Middletown, OH 45042 | 2016-06-15 |
| 1811347388 | Camelot Raalty, LLC | Intermediate Care Facility, Mentally Retarded | 4923 Hendrickson Rd, Middletown, OH 45042 | 2016-06-15 |
| 1790135234 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4895 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1720438294 | Camelot Realty, LLC | Intermediate Care Facility, Mentally Retarded | 4907 Hendrickson Rd., Middletown, OH 45042 | 2016-06-15 |
| 1174948129 | Sherry L. Flannery | Nurse Practitioner | 4961 Middletown Oxford Road, Middletown, OH 45042 | 2014-02-27 |
| Find all providers in zip 45042 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902382906 | Pure Wellness of Middletown, LLC | Chiropractor | 708 Ash Blvd, Middletown, DE 19709-8871 | 2018-07-13 |
| 1801394804 | Chiropractic Wellness of Middletown, P.C. | Chiropractor | 201 Dolson Ave Ste H100, Middletown, NY 10940 | 2018-01-25 |
| 1083123079 | Gudrun Maria Thunman | Chiropractor | 145 Prospect Ave, Middletown, RI 02842-5605 | 2017-09-22 |
| 1306268214 | Elizabeth Tamminga | Chiropractor | 12334 Shelbyville Rd, Middletown, KY 40243-1471 | 2014-01-11 |
| 1063853331 | Zachary Patterson | Chiropractor | 400 Quincy Ave, Middletown, DE 19709-8367 | 2013-07-15 |
| 1912246216 | Jack R. Dugo, Jr., D.c., LLC | Chiropractor | 20 Cherry Tree Farm Rd, Middletown, NJ 07748-2251 | 2013-02-06 |
| 1386919520 | Robert W Grace | Chiropractor | 88 Valley Rd, Middletown, RI 02842-5237 | 2012-03-21 |
| 1588947790 | Logullo Chiropractic Wellness Center Pa | Chiropractor | 600 N Broad St Ste 19, Middletown, DE 19709-1032 | 2011-09-23 |
| 1790010403 | Laura K Cruz | Chiropractor | 19 Rondack Rd, Middletown, NY 10941-1622 | 2009-10-14 |
| 1184856668 | Middletown Chiropractic and Rehabilitation Center | Chiropractor | 2714 N Verity Pkwy, Middletown, OH 45042-2408 | 2009-08-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45042 |
Please comment or provide details below to improve the information on DR. MARK DOUGLAS MCCLURE.
| 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.