DR. EVAN LEE MCCLENNEN (NPI# 1467891101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467891101 |
| Entity Type | Individual |
| Full Name | DR. EVAN LEE MCCLENNEN |
| Credential | D.O. |
| Practice Address |
1155 E Mountain Blvd Wilkes Barre PA 18702-3377 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708087916 |
| Mailing Telephone | 5702716144 |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS018839 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | OT015408 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1155 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234200 | Juan Manuel Arreguin | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2005-09-07 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1982250742 | Jessica Miller | Advanced Practice Midwife | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| 1609422351 | Bridget Colleen Fox | Nurse Practitioner | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| 1346896677 | Lauren Jurbala | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-13 |
| 1720559990 | Nicole Williams | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-12-16 |
| 1811468036 | Lisa Ferenchick | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-12-16 |
| 1033688726 | Lauren Mckenzie Applegate Ax | Physician Assistant | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-11-25 |
| 1366942922 | Pearleen Ann Poplawski | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-02-20 |
| 1104326750 | Alexandrea Marie Davis | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922290824 | Hyungbae Kim | Obstetrics & Gynecology | 545 N Main St, Suite 210, Wilkes Barre, PA 18702-2643 | 2007-08-14 |
| 1114994472 | Marcel M Favetta | Obstetrics & Gynecology | 1155 East Moutain Blvd, Wilkes Barre, PA 18711-7906 | 2006-03-07 |
| 1346234200 | Juan Manuel Arreguin | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2005-09-07 |
| 1336685585 | Annie Masterson | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2017-01-12 |
| 1992159420 | Benoit Mapa | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2016-04-21 |
| 1710349188 | Waqarun Nisa Rashid | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2016-03-24 |
| 1164817185 | Preeyanka Nagar | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2015-04-06 |
| 1770988214 | Kaitlen A. Jones | Obstetrics & Gynecology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2014-10-27 |
| 1376958306 | Khalil Mehdi | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-06-28 |
| 1053721597 | Shivani Shah | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2014-05-06 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.