MATTHEW MCCLANAHAN (NPI# 1609175579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609175579 |
| Entity Type | Individual |
| Full Name | MATTHEW MCCLANAHAN |
| Credential | M.D. |
| Practice Address |
1202 S Tyler St Covington LA 70433-2330 |
| Mailing Address |
250 Evangeline Dr Mandeville LA 70471-1882 |
| Practice Telephone | 9858984000 |
| Mailing Telephone | 8065353781 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD.207948 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295046928 | Matthew W Mcclanahan | Neuromusculoskeletal Medicine & OMM | 320 East Main Street, Suite 200, Chattanooga, TN 37408 | 2010-06-28 |
| Street Address |
1202 S TYLER ST |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475190 | Total Anesthesia Care Stph, LLC | Anesthesiology | 1202 S Tyler St, Covington, LA 70433-2330 | 2005-05-30 |
| 1578163127 | Frances Coe | Pharmacist | 1202 S Tyler St, Covington, LA 70433-2330 | 2020-10-31 |
| 1841838125 | Kelly Crim | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-12-17 |
| 1184260259 | Reghan Recile | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-11-22 |
| 1144864497 | Krista Dooley Dazzo | Physician Assistant | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-10-30 |
| 1205486644 | Karolina Diana Ruthner | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-09-18 |
| 1306300264 | Kimberly F Poussard | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-01-24 |
| 1720508534 | Terry Blais Compton | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-06-22 |
| 1841730330 | Sarah Delery | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-03-02 |
| 1831548445 | Peter T Braud | Family Medicine | 1202 S Tyler St, Covington, LA 70433-2330 | 2016-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265605 | Tipton County Integrated Medicine | Internal Medicine | 201 W Pleasant Avenue, Covington, TN 38019-2538 | 2016-10-06 |
| 1942539861 | P Craig Parker, Md | Internal Medicine | 47 Oaklawn Dr, Covington, LA 70433-4520 | 2009-12-24 |
| 1295965986 | Premium Care Med Group Inc | Internal Medicine | 3828 Salem Rd, Suite 200, Covington, GA 30016-4528 | 2009-07-16 |
| 1043488364 | Vijaya Swamy | Internal Medicine | 10109 Fieldcrest Walk, Covington, GA 30014-2035 | 2008-02-20 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1841496718 | Brandon Deann Simon-davis | Internal Medicine | 130 Lakeview Circle, Covington, LA 70433 | 2007-06-26 |
| 1053512996 | Eastview Internal Medicine, P.C. | Internal Medicine | 3285 Salem Rd, Covington, GA 30016-1863 | 2007-05-29 |
| 1386855138 | Lemuel Phillips Jenkins | Internal Medicine | 131 Cherokee Rose Ln Ste B, Covington, LA 70433-7244 | 2007-05-24 |
| 1679695910 | Douglas H Rank | Internal Medicine | 12 W Pike St, Covington, KY 41011 | 2007-04-06 |
| 1154499481 | Nirmala Sowbhagya Chelliah | Internal Medicine | Eastview Internal Medicine, P.C. 3285 Salem Road, Covington, GA 30016-1863 | 2006-12-04 |
| Find all providers in COVINGTON | ||||
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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.