Daryl M. McClendon, M.D., P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4215 Issued in AK

Legal business name

DARYL M. MCCLENDON, M.D., P.C.

Practice address

3851 Piper St
Suite U466
Anchorage, AK 99508-4684

Phone

(907) 569-1333

Fax

(907) 569-1433

NPI assigned

Jun 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daryl Mark McClendon, M.D.NPI 1013945948

Title

President

Phone

(907) 569-1333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Alaska Digestive Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1508835299

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daryl M. McClendon, M.D., P.C.

  • Gastroenterology Physician
  • Anchorage, AK
  • NPI 1013945948

  AK, Gastroenterology

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1013145002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084684",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084684",
            "telephone_number": "907-569-1333",
            "fax_number": "907-569-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL M. MCCLENDON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-569-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AK",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ny-Juan Darden
• Randall Dargan
• Darin Anderson, LLC
• Daniel Darko
• Aishatu Darno
• Jason Dashow, DDS, MD
• Jeremy B Daube, PHARMD
• Kaitlyn Michelle Daugharty
• Larry Calvin Daugherty, M.D.
• Gregory Daum, DO

• All providers in Anchorage, AK
• Gastroenterology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.