Active NPI
Glenn D McClendon, DPM
- Podiatrist
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 140
- Practice address
- 2425 Dave Ward Dr Ste 1
Conway, AR 72034-8686 - Phone
- (501) 504-2737
- Fax
- (501) 499-9890
- NPI assigned
- Aug 31, 2005
- Last updated
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 140 | AR | Primary |
Addresses
Primary practice location
2425 Dave Ward Dr Ste 1
Conway, AR 72034-8686
Mailing address
2425 Dave Ward Dr Ste 1
Conway, AR 72034-8686
Phone (501) 504-2737
Other practice location 1
550 Club Lane
Suite1
Conway, AR 72034-3681
Phone (501) 329-1510 ext. 119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050603001010 | AR | Practitioner - Podiatry | 2264475821 | Practice locations: Conway, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2425 Dave Ward Dr
Suite 201
Conway, AR 72034-8680
Phone (501) 504-2737
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 66 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1240 |
| Removal or shaving of skin growth | 697 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140 | AR | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenn McClendon DPM Inc | Podiatrist | Current | Accepting new patients |
Locations
2425 Dave Ward Dr
Ste 201
Conway, AR 72034
Phone (501) 504-2737
Interoperability endpoints
- glenn.mcclendon@1246.chartlogic.direct-ci.com
Organizations & group practices 1
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conway Regional Medical Clinic-Vilonia
- Rural Health Clinic/Center
- Vilonia, AR
- NPI 1063798858
Hospital
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
dba Conway Regional Medical Clinic-Russellville
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
dba Conway Regional Counseling Center
- Psychiatry Physician
- Conway, AR
- NPI 1730402249
Hospital
-
dba Mayflower Medical Clinic
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
-
- Rehabilitation Hospital
- Conway, AR
- NPI 1720003643
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1265425656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 DAVE WARD DR STE 1",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348686",
"telephone_number": "501-504-2737",
"fax_number": "501-499-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 DAVE WARD DR STE 1",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348686",
"telephone_number": "501-504-2737",
"fax_number": "501-499-9890"
}
],
"practiceLocations": [
{
"address_1": "550 Club Lane",
"address_2": "Suite1",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720343681",
"country_code": "US",
"telephone_number": "501-329-1510 x119",
"fax_number": "501-329-5697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLENDON",
"first_name": "GLENN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AR",
"license": "140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.