Mark W. McClung, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

58787 Issued in WV

Practice address

311 Chestnut Ave
Oak Hill, WV 25901-2104

Phone

(304) 575-0360

NPI assigned

Feb 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1487894945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CHESTNUT AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CHESTNUT AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012104",
            "telephone_number": "304-575-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "MARK",
        "middle_name": "W.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "58787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Martinez
• Daniel Shane Matheny
• Elizabeth Ann Maynus
• Ricki McCallister
• John Douglas McClain, RPH
• Edward Garland McCormick, D.C.
• Justin Wayne McDaniel
• Tierra McDowell
• McGuffin Eye Care, PLLC
• Ashley Michelle McGuffin, O.D.

• Family Nurse Practitioner in Oak Hill, WV
• Providers in Oak Hill, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.