Michael B McClurkan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C8287 Issued in AR

Practice address

800 S Church St
Ste 100
Jonesboro, AR 72401-4176

Phone

(870) 932-8181

Fax

(870) 932-8193

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2014 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Womens Wellness Center of Northeast Arkansas, LTD.

  • Specialist
  • Jonesboro, AR
  • NPI 1295840452
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1013903277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031636",
            "telephone_number": "870-932-8181",
            "fax_number": "870-932-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST",
            "address_2": "STE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014176",
            "telephone_number": "870-932-8181",
            "fax_number": "870-932-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURKAN",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129275001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean L McCleskey
• Shirley Leung McCleskey, D.D.S.
• Sharlon McClinic, BT
• Frances McClung
• Justin L McClure, MHPP
• Deshawn McCoard
• Charles McCollum
• Jody L McCollum
• Mallorie McCollum
• Michael L McCollum, MHPP

• Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.