William D Mcclendon Jr. (NPI# 1790735652, PAC ID# 5496770208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1790735652 |
PAC ID by PECOS | 5496770208 |
Professional Enrollment ID | I20051011000678 |
Full Name | William D Mcclendon Jr. |
Organization Legal Name | MCCLENDON MEDICAL CLINIC PLLC |
Address |
1161 Robinson St Ocean Springs MS 39564-3841 |
Phone Number | 6019062701 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 6103129945 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250040 | SINGING RIVER HOSPITAL |
250007 | MERIT HEALTH BILOXI |
250019 | MEMORIAL HOSPITAL AT GULFPORT |
Address | Phone | Organization |
---|---|---|
1161 Robinson St, Ocean Springs, MS 39564-3841 | 6019062701 | MCCLENDON MEDICAL CLINIC PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | MCCLENDON MEDICAL CLINIC PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela P Noble | Nurse Practitioner | Mcclendon Medical Clinic Pllc | 1161 Robinson St, Ocean Springs, MS 39564-3841 |
Street Address |
1161 ROBINSON ST |
City | OCEAN SPRINGS |
State | MS |
Zip | 39564-3841 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela P Noble | Nurse Practitioner | Mcclendon Medical Clinic Pllc | 1161 Robinson St, Ocean Springs, MS 39564-3841 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erica Enger Cross | Physician Assistant | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
Ashley L Bourgeois | Physician Assistant | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
Michele H Hughes | Dermatology | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
David P Hoffman | Chiropractic | 1200 Washington Ave B, Hoffman Chiropractic, Ocean Springs, MS 39564-2859 | |
Stephanie D Smith | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
Hang M Nguyen | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
Amber L Touchstone | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
Michael W Fairbanks | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
William B Gibboney | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
Angela Haigler | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
Find all physicians in zip 39564 |
City | OCEAN SPRINGS |
Zip Code | 39564 |
Specialty | INTERNAL MEDICINE |
City + Specialty | OCEAN SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on William D Mcclendon Jr..
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.