MR. MATTHEW H MCCLERNAN (NPI# 1538191283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538191283 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW H MCCLERNAN |
| Credential | IDC |
| Practice Address |
Uss Kentucky Ssbn 737 Gold 2100 Thresher Ave Silverdale WA 98315 |
| Mailing Address |
2364 Ne Eton Ln Bremerton WA 98311-9591 |
| Practice Telephone | 3603154204 |
| Mailing Telephone | 3606922121 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
USS KENTUCKY SSBN 737 GOLD 2100 THRESHER AVE |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044500 | Tina Louise Toles | Military Health Care Provider | Marine Corps Security Forces Battalion, Fpo, AP 98315 | 2008-05-28 |
| 1235340738 | Edward Cliff Littler | Military Health Care Provider | Uss Henry M Jackson (ssbn 730)(blue), Fpo Ap, Bangor, WA 98315 | 2007-05-25 |
| 1871705673 | Christopher Lee Drennon | Military Health Care Provider | Mcsfco Bangor, Silverdlae, WA 98315 | 2007-05-04 |
| 1043317803 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 2050 Barb St Ste A, Silverdale, WA 98315 | 2006-09-20 |
| 1851772891 | Robert Blackmon | Military Health Care Provider | 2050 Barb St, Silverdale, WA 98315 | 2015-06-16 |
| 1962723668 | Christopher Deon Davis | Military Health Care Provider | 2100 Thresher Ave, Uss Henry M Jackson Ssbn 730(g), Silverdale, WA 98315 | 2010-06-16 |
| 1366773038 | Mario M Faria | Military Health Care Provider | 2100 Thresher Ave, Uss Pennsylvania Ssbn 735, Silverdale, WA 98315 | 2010-01-20 |
| 1912196221 | Randall Evan Moss | Physician Assistant | 2050 Barb St, Silverdale, WA 98315 | 2007-10-23 |
| 1932302262 | Branch Medical Clinic Bangor | Clinic/Center | 2050 Barb St, Silverdale, WA 98315 | 2007-06-06 |
| 1386689560 | Richard E Bolton | Military Health Care Provider | 2100 Thresher Ave, Uss Nevada, Silverdale, WA 98315 | 2006-06-19 |
| Find all providers in zip 98315 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669022810 | Shannon Dawkins | Military Health Care Provider | 2150 Thresher Ave, Silverdale, WA 98315-2103 | 2019-09-18 |
| 1649830779 | Monica Yineman | Military Health Care Provider | 9812 Enchantment Ave Nw, Silverdale, WA 98383-8822 | 2019-06-20 |
| 1326521097 | Elizabeth Nicole Sifuentes | Military Health Care Provider | Uss Michigan- Commander Sub Group Nine, 2150 Thresher Ave, Silverdale, WA 98315-2150 | 2018-09-10 |
| 1700062593 | Jason Schwieterman | Military Health Care Provider | 2200 Scorpion Ave, Silverdale, WA 98315-2201 | 2008-01-11 |
| 1639353501 | Julius Clayton Mclinko | Military Health Care Provider | 2102 Drum St, Silverdale, WA 98315-2100 | 2007-12-27 |
| 1922039247 | Ronald Lee Hampton | Military Health Care Provider | 7111 Sealion Rd, Silverdale, WA 98315-7102 | 2006-07-05 |
| 1326077561 | Denfield Arnaldo Thomas | Military Health Care Provider | 4108 Michigan Dr Apt A, Silverdale, WA 98315-9427 | 2006-07-01 |
| 1467480939 | Rohn Dale Wallace | Military Health Care Provider | Uss Ohio Ssgn 726 Gold, Silverdale, WA 98312 | 2006-06-30 |
| 1770527962 | Patrick Blake West | Military Health Care Provider | Uss Louisiana Ssbn 743 (blue), 2100 Thresher Ave, Silverdale, WA 98315-2100 | 2006-06-16 |
| 1679514392 | Bernard H Agnew | Military Health Care Provider | 2100 Thresher Ave, Uss Maine Ssbn 741 Blue, Silverdale, WA 98315-2103 | 2006-06-10 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98315 |
Please comment or provide details below to improve the information on MR. MATTHEW H MCCLERNAN.
| 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.