STEPHEN LEE MCCLELLAN (NPI# 1023314549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023314549 |
| Entity Type | Individual |
| Full Name | STEPHEN LEE MCCLELLAN |
| Credential | M.D. |
| Practice Address |
N4656 Lakeshore Dr Kewaunee WI 54216-9794 |
| Mailing Address |
Po Box 191 Kewaunee WI 54216-0191 |
| Practice Telephone | 9203880569 |
| Practice Fax Number | 9203882760 |
| Mailing Telephone | 9203880569 |
| Mailing Fax Number | 9203882760 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
22454-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 043981900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326118415 | Stephen M Mcclellan | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2006-11-08 |
| Street Address |
N4656 LAKESHORE DR |
| City | KEWAUNEE |
| State | WI |
| Zip Code | 54216-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114436284 | Rebecca M Kasten | Massage Therapist | 224 Ellis St., Kewaunee, WI 54216 | 2017-09-21 |
| 1780932772 | Tricia Lynn Keister | Registered Nurse | N6028 County Road D, Kewaunee, WI 54216 | 2012-08-22 |
| 1295988061 | Carol Jean Mueller | Licensed Practical Nurse | N 1199 Hwy 42, Kewaunee, WI 54216 | 2008-10-24 |
| 1578754511 | Kenneth J & Marilyn M Secor | Assisted Living Facility | 1204 Fourth St, Kewaunee, WI 54216 | 2007-08-06 |
| 1073548046 | Aurora Pharmacy Inc | Pharmacy | 931 Marquette Dr, Kewaunee, WI 54216 | 2006-07-11 |
| 1376572529 | Richard James Seifert | Social Worker | 810 Lincoln St, Kewaunee, WI 54216 | 2006-07-01 |
| 1639141955 | Marcus Arnold Steele | Chiropractor | 1218 Ellis Street, Steele Chiropractic Clinic, Kewaunee, WI 54216 | 2006-02-02 |
| 1447773783 | Marie G Smith | Dietitian, Registered | 575 4th St, Kewaunee, WI 54216 | 2017-07-19 |
| 1952429300 | Lori M Nellis | Social Worker | 810 Lincoln Street, Kewaunee, WI 54216 | 2007-03-26 |
| 1447395389 | Anthony Michael Sachse | Physical Therapist | 575 4th St, Kewaunee, WI 54216 | 2007-02-20 |
| Find all providers in zip 54216 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316533 | Andrii Puzyrenko | Pathology | 9200 W Wisconsin Ave Ste L83, Milwaukee, WI 53226-3522 | 2020-08-16 |
| 1487040127 | Michelle Stoffel | Pathology | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 | 2015-04-09 |
| 1447694328 | Patrick Stephen Rush | Pathology | 600 Highland Ave. H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2013-04-23 |
| 1346501756 | James Murray Angevine | Pathology | 602 Mineral Pt Road, Apt 214, Madison, WI 53705-4577 | 2012-06-01 |
| 1922231414 | Darrell Peter Skarphol | Pathology | 2480 Edgewood Ct, Green Bay, WI 54302-4813 | 2009-08-31 |
| 1518110147 | Werner Adam Reis | Pathology | 839 N Jefferson St Ste 300, Milwaukee, WI 53202-3744 | 2008-10-28 |
| 1598927444 | Leela C Thachenkary | Pathology | 7107-49th Ave, Kenosha, WI 53142 | 2008-07-01 |
| 1326211384 | Scott James Kantola | Pathology | 2800 Westhill Dr Ste 208, Wausau, WI 54401-3770 | 2008-04-10 |
| 1437355997 | Monica Goswami | Pathology | 10472 W Montana Ave, # 215, West Allis, WI 53227-3263 | 2007-06-22 |
| 1891827234 | Jay F Schamberg | Pathology | 8901 West Lincoln Ave., West Allis, WI 53227 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
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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.