MR. CHASE JENTRY MCCLARD (NPI# 1801415625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801415625 |
| Entity Type | Individual |
| Full Name | MR. CHASE JENTRY MCCLARD |
| Practice Address |
2120 Kelso Rd Murray KY 42071-4528 |
| Practice Telephone | 2702178013 |
| Mailing Telephone | 2702178013 |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2020-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2120 KELSO RD |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1396354585 | Esmeralda Ruby Barron | Student in an Organized Health Care Education/Training Program | 1344 E Merritt Cir, Murray, UT 84117-7327 | 2020-07-24 |
| 1669097705 | Tara Nidhi Acharya | Student in an Organized Health Care Education/Training Program | 3 E Hanauer Pl, Murray, UT 84107-3891 | 2020-06-15 |
| 1851916803 | Kenzie Harline Smith | Student in an Organized Health Care Education/Training Program | 1191 W Pitchfork Rd, Murray, UT 84123-7672 | 2020-06-15 |
| 1457970568 | Andrea Hayes | Student in an Organized Health Care Education/Training Program | 1107 Elm St, Murray, KY 42071-2345 | 2020-04-09 |
| 1457900680 | Matthew Edward Feinauer | Student in an Organized Health Care Education/Training Program | 6156 S Vinecrest Dr, Murray, UT 84121-1753 | 2019-09-10 |
| 1639721988 | William J. Fahrenbach | Student in an Organized Health Care Education/Training Program | 830 E 3990 S Apt B, Murray, UT 84107-2167 | 2019-07-16 |
| 1871045690 | Alex Coffman | Student in an Organized Health Care Education/Training Program | 5169 S Cottonwood St Ste 303, Murray, UT 84107-6768 | 2016-10-27 |
| 1245485499 | Chad Kent Christiansen | Student in an Organized Health Care Education/Training Program | 5169 Cottonwood St Ste 303, Murray, UT 84107-6768 | 2008-12-01 |
| 1255956835 | Bradley Douglas Shields | Student in an Organized Health Care Education/Training Program | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-10 |
| Find all providers in MURRAY | ||||
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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.