THOMAS G. MCCLEARY (NPI# 1124069968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124069968 |
| Entity Type | Individual |
| Full Name | THOMAS G. MCCLEARY |
| Credential | DO |
| Practice Address |
3200 N Windsong Dr Prescott Valley AZ 86314-2255 |
| Practice Telephone | 9287721505 |
| Practice Fax Number | 9287726343 |
| Mailing Telephone | 9287721505 |
| Mailing Fax Number | 9287726343 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
005476 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 116913561 | 01 |
| Street Address |
3200 N WINDSONG DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245280098 | J. Dan Morris | Family Medicine | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2006-05-11 |
| 1164822318 | Akdhc, LLC | Internal Medicine | 3200 N Windsong Dr, Suite A, Prescott Valley, AZ 86314-2255 | 2014-08-25 |
| 1801942818 | Windsong Medical Associates, P.l.c. | Specialist | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2007-01-25 |
| 1700960325 | Jamie M Pearson | Physician Assistant | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2006-10-24 |
| 1942251996 | Kara E Johnson | Internal Medicine | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1720698657 | Med-consults Pllc | Internal Medicine | 6262 N Swan Rd Ste 175, Tucson, AZ 85718-3645 | 2020-08-05 |
| 1669942645 | Golden Trinity Healthcare LLC | Internal Medicine | 40616 W Art Pl, Maricopa, AZ 85138-5221 | 2018-12-03 |
| 1013485762 | Todd Charles Coslett | Internal Medicine | 4149 W Kaler Dr, Phoenix, AZ 85055 | 2018-11-09 |
| 1689126971 | Azmobilemd | Internal Medicine | 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 | 2016-11-02 |
| 1699190777 | Matthew D Skinner, Md, P.C. | Internal Medicine | 6740 W Deer Valley Rd Ste D107, Pmb 105, Glendale, AZ 85310-5952 | 2014-02-26 |
| 1114218088 | Toh-hoai W. Lim, I | Internal Medicine | 24407 S Agate Dr, Sun Lakes, AZ 85248-0878 | 2011-04-27 |
| 1437457058 | Southwest Geriatrics & Internal Medicine Pllc | Internal Medicine | 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 | 2011-03-06 |
| 1538473483 | Wissam Fayad Md PC | Internal Medicine | 1841 W 25th Street, Ste A, Yuma, AZ 85364 | 2010-08-03 |
| 1417103599 | D & M Medical Clinic, PC | Internal Medicine | 10503 W Thunderbird Blvd Ste 202, Sun City, AZ 85351-2746 | 2008-08-08 |
| 1194917716 | Stephanie Catherine Bravo | Internal Medicine | 4716 E Burns St, Tucson, AZ 85711-3015 | 2007-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.