MICHAEL TAYLOR MCCLELLAN (NPI# 1063906972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063906972 |
| Entity Type | Individual |
| Full Name | MICHAEL TAYLOR MCCLELLAN |
| Credential | PA |
| Practice Address |
7400 Merton Minter St San Antonio TX 78229-4404 |
| Mailing Address |
242 University Mnr E Hershey PA 17033-2831 |
| Practice Telephone | 2106175300 |
| Mailing Telephone | 2087169452 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821665 | Michael M Mcclellan | Internal Medicine | 2135 Dana Avenue, Suite 210, Cincinnati, OH 45207 | 2006-07-11 |
| 1740760149 | Michael Mcclellan | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-08-15 |
| 1770077299 | Michael Mcclellan | Case Manager/Care Coordinator | 771 W 13th St, Atoka, OK 74525-3712 | 2018-06-18 |
| 1184789273 | Michael Richard Mcclellan | Chiropractor | 3731 Rainbow Dr, Ste A, Rainbow City, AL 35906-6307 | 2006-12-27 |
| 1386747202 | Michael Mcclellan | Physical Therapist | 2140 Franklin Turnpike, Danville, VA 24540 | 2006-09-06 |
| 1770699209 | Michael Douglas Mcclellan | Internal Medicine | 5200 Dtc Pkwy, Suite 400, Greenwood Village, CO 80111-2709 | 2006-08-21 |
| 1306825906 | Michael Wayne Mcclellan | Medical Genetics | Madigan Army Medical Ctr, Mchj-clg, Tacoma, WA 98431-0001 | 2006-01-11 |
| Street Address |
7400 MERTON MINTER ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457358905 | Jodie Malhotra | Pharmacist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2005-06-30 |
| 1265033948 | Cassie Carin Gemes | Social Worker | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-11-08 |
| 1477154243 | Idalhi Barnes Marrero | Student in an Organized Health Care Education/Training Program | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-11-06 |
| 1124629688 | Alisha Marie Stai | Social Worker | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-11-02 |
| 1528667755 | Ashley Nicole Pulido | Registered Nurse | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-10-19 |
| 1063010478 | Kirby Jo Capps | Physical Therapist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-10-16 |
| 1891300984 | Selena Garcia | Recreation Therapist | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-09-15 |
| 1578178067 | Erica Coronado | Nurse Practitioner | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-09-10 |
| 1093329823 | Emily Ankabrandt | Physician Assistant | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-08-31 |
| 1114530870 | Thomas Brent Johnson | Family Medicine | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866298 | Diana P Olivares | Physician Assistant | 8920 Quihi Way, San Antonio, TX 78254-1901 | 2020-09-17 |
| 1740893445 | Mcrm Assist, Pllc | Physician Assistant | 14546 Brook Hollow Blvd # 417, San Antonio, TX 78232-3810 | 2020-08-24 |
| 1508476086 | Matthew Gaines | Physician Assistant | 2626 Bluff Xing, San Antonio, TX 78244-1000 | 2020-08-09 |
| 1235757519 | Joseph Dominic Wechsler Jr. | Physician Assistant | 9114 Autumn Skies, San Antonio, TX 78254-1929 | 2020-07-13 |
| 1396368015 | Maureen Genov | Physician Assistant | 540 Madison Oak Dr Ste 450, San Antonio, TX 78258-3932 | 2020-05-28 |
| 1386266062 | Sun Assist, Pllc | Physician Assistant | 10650 Culebra Rd # 104-484, San Antonio, TX 78251-4949 | 2020-05-15 |
| 1134758964 | Mark Lee Nentwig | Physician Assistant | 1434 E Sonterra Blvd Ste 206, San Antonio, TX 78258-4973 | 2020-04-03 |
| 1962034694 | Christina L Russell | Physician Assistant | 525 Oak Centre Dr Ste 100, San Antonio, TX 78258-3916 | 2020-02-11 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1447808498 | Elizabeth Ann Blair | Physician Assistant | 24623 Birdie Rdg, San Antonio, TX 78260-7847 | 2019-09-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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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.