Allen W McClure III, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

09293R Issued in LA

Practice address

4239 Highway 1192
Suite 200
Marksville, LA 71351-4771

Phone

(318) 253-7509

Fax

(318) 253-8155

NPI assigned

Jun 28, 2005

Last updated

Aug 28, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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.

Enrollment records 1

Specialty

Emergency MedicineAlso: General Surgery

Education

Louisiana State University School of Medicine in New Orleans, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derussy Emergency Group LLCGroup PAC ID 3870834641, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avhamcclu@yourcarecommunity.org

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.

• Derussy Emergency Group, LLC

  • Emergency Medicine Physician
  • Marksville, LA
  • NPI 1306300900
  Medicare reassignment Care Compare group NPD
• McClure Surgical, LLC

  • Medical Specialty Clinic/Center
  • Marksville, LA
  • NPI 1164667887
  NPD (past) Authorized official
• Nes Louisiana Inc

  • Emergency Medicine Physician
  • Natchitoches, LA
  • NPI 1669922431
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Avoyelles, LLC

  dba Avoyelles Hospital

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1053358176
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1801893458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192",
            "address_2": "SUITE 200",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514771",
            "telephone_number": "318-253-7509",
            "fax_number": "318-253-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192",
            "address_2": "SUITE 200",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514771",
            "telephone_number": "318-253-7509",
            "fax_number": "318-253-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ALLEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "09293R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934810",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lovell John Mayeux, Jr., M.D.
• Darron Clark McCann, MD
• Philip McCann, D.D.S.
• Shawn Ellington McCann, M.D.
• McClure Surgical, LLC
• McGees Pharmacy
• Sharicka McGlory, RSW
• Medistar Home Health of Marksville, L.L.C. (Elara Caring)
• Elizabeth Squyres Melancon, MSW, LCSW
• Richard Roy Michel, M.D.

• Surgery Physician in Marksville, LA
• Providers in Marksville, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
• 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.

Verify at the official NPI Registry.