The Anaplastology Clinic, LLC

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

THE ANAPLASTOLOGY CLINIC, LLC

Practice address

2613 Carver St
Durham, NC 27705-2720

Phone

(919) 383-1205

Fax

(919) 383-2838

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Jay Donald McClennen, CCA, CFMNPI 1629214168

Title

Chief Anaplastologist

Phone

(919) 383-1205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Donald McClennen, AOCAD

  • Anaplastologist
  • Durham, NC
  • NPI 1629214168
  NPD Authorized official
• Andrew Jackson Etheridge IV, CCA, CFO, CFM, CPED

  • Anaplastologist
  • Baltimore, MD
  • NPI 1487246369
  NPD
• Jane Lupton Bahor, CCA/ANAPLASTOLOGIST

  • Anaplastologist
  • Durham, NC
  • NPI 1164672036
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1922244425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 CARVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052720",
            "telephone_number": "919-383-1205",
            "fax_number": "919-383-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 CARVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052720",
            "telephone_number": "919-383-1205",
            "fax_number": "919-383-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANAPLASTOLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCLENNEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF ANAPLASTOLOGIST",
        "authorized_official_telephone_number": "919-383-1205",
        "authorized_official_credential": "CCA, CFM"
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khoi Duc Than, MD
• Kanika Thapar, MD
• Rachel L. Tharpe, LPT
• Laticia Ann Tharrington, NP
• Sonum Devi Tharwani, MD
• The Arc of Durham County
• The Athletic Pelvis
• The Beauty of Wellness, LLC (The Beauty of Wellness)
• The Birch Center
• The Bridge Consulting Group, LLC

• Anaplastologist in Durham, NC
• Providers in Durham, NC by specialty
• Anaplastologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.