Gary Marc McClernan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2389 Issued in FL

Practice address

14741 Waterway Dr
Hudson, FL 34667

Phone

(727) 432-1919

NPI assigned

Feb 2, 2006

Last updated

Jun 16, 2018By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Gary M McClernan DPM PA

  • Podiatrist
  • Hudson, FL
  • NPI 1346511839
  Authorized official Same address or phone
• On-Site Foot Care Inc

  • Podiatrist
  • Tarpon Springs, FL
  • NPI 1689151011
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1154393445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14741 WATERWAY DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346673258",
            "telephone_number": "727-432-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14741 WATERWAY DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-432-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2232 Willowbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337646743",
            "country_code": "US",
            "telephone_number": "727-531-0223",
            "fax_number": "727-538-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLERNAN",
        "first_name": "GARY",
        "middle_name": "MARC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR",
            "identifier": "DS9118",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MCARE PTAN",
            "identifier": "FS503A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019585300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE IND PTAN",
            "identifier": "DS9118",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MCARE PTAN",
            "identifier": "65368Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PO2389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayman Matter, PT
• Jacqueline Maughan
• Saro Harry Mazmanian, DO
• Shaghayegh Mazoury, DO
• MC Medical LLC (Walmart Health)
• Christopher McCurdie
• Thomas M McDermott, PTA
• Laura McGee, DO
• Jeffrey Karr McMahon, BA
• MCR Health, Inc. (Health and Wellness)

• Podiatrist in Hudson, FL
• Providers in Hudson, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.