Active NPI
Katherine Jane McClure, M.D.
- Pediatrics Physician
- Bethel, AK
National Provider Identifier
1790806420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3563
- Practice address
- 700 Chief Eddie Hoffman Highway
Bethel, AK 99559-0287 - Phone
- (907) 543-6300
- Fax
- (907) 543-6366
- NPI assigned
- Apr 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3563 | AK | Primary |
Addresses
Primary practice location
700 Chief Eddie Hoffman Highway
Bethel, AK 99559-0287
Mailing address
PO Box 287
Bethel, AK 99559-0287
Phone (907) 543-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD3563 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790806420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"city": "BETHEL",
"state": "AK",
"postal_code": "995590287",
"telephone_number": "907-543-6300",
"fax_number": "907-543-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHIEF EDDIE HOFFMAN HIGHWAY",
"city": "BETHEL",
"state": "AK",
"postal_code": "995590287",
"telephone_number": "907-543-6300",
"fax_number": "907-543-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "KATHERINE",
"middle_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "3563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD3563",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.