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Export Provider Record NPI 1376604488
Clement Joseph McdonaldM.D.
Active
NPI Number1376604488
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1376604488
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-12-12
Last Updated2026-04-08
Mailing Address10201 N Illinois St Ste 110
Carmel, IN 46290-1172
United States
Phone: (317) 819-4516 | Fax: (317) 819-0044
📍 View Map
Primary Practice Address1115 Ronald Reagan Pkwy, Ste 255
Avon, IN 46123-6910
United States
Phone: (317) 217-2255 | Fax: (317) 819-0044
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Y00000X – OtolaryngologyIN01056684A
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About NPI 1376604488

Clement Joseph Mcdonald M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1376604488. The primary specialty listed is Otolaryngology. The provider is located in Avon, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376604488?

NPI 1376604488 belongs to Clement Joseph Mcdonald M.D., a Otolaryngology in Avon, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376604488 active?

The current status of NPI 1376604488 in the NPPES registry is Active. The record was last updated on 2026-04-08.

What specialty is NPI 1376604488?

NPI 1376604488 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1376604488?

You can verify NPI 1376604488 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1376604488?

The primary practice address on file for NPI 1376604488 is 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376604488 issued?

NPI 1376604488 was first issued (enumerated) on 2006-12-12. The NPPES record was last updated on 2026-04-08.

Practice Location Map

Clement Joseph Mcdonald is located at 1115 Ronald Reagan Pkwy, Avon, IN. Use the map below to find directions or verify the practice location.

📍 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Clement Joseph Mcdonald. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376604488. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology01056684AIN
Data Verified from CMS NPPES Last synced: 2026-08-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162