DR. ROBERT MICHAEL MCCLELLAN (NPI# 1225043961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225043961 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MICHAEL MCCLELLAN |
| Credential | M.D. |
| Practice Address |
1118 W Baltimore Pike Suite 100, Health Center 4 Media PA 19063-6104 |
| Practice Telephone | 4842278350 |
| Practice Fax Number | 4842271645 |
| Mailing Telephone | 4842278350 |
| Mailing Fax Number | 4842271645 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD012995E | PA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
MD012995E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779621 | Robert William Mcclellan | Social Worker | 817 12th St, West Babylon, NY 11704-3116 | 2007-09-24 |
| 1588628259 | Robert J. Mcclellan | Occupational Therapist | 1700 Canton Hills Cir, Marietta, GA 30062-4612 | 2006-04-12 |
| 1396372371 | Robert Mcclellan | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-03-27 |
| 1467825661 | Robert Mcclellan | Social Worker | 6887 Dixie Hwy Ste A, Clarkston, MI 48346-5107 | 2015-11-10 |
| 1770618498 | Robert Bradley Mcclellan | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2007-02-22 |
| 1518994797 | Robert Trigg Mcclellan | Orthopaedic Surgery | 1001 Potrero Avenue, Rm 3a36, San Francisco, CA 94110-3518 | 2006-06-26 |
| 1265428940 | Robert Lee Mcclellan | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2005-09-27 |
| Street Address |
1118 W BALTIMORE PIKE SUITE 100, HEALTH CENTER 4 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164911657 | Troy Norton | Physical Therapist | 1118 W Baltimore Pike, Media, PA 19063-6104 | 2018-05-09 |
| 1528507555 | Shelby Weiss | Physical Therapist | 1118 W Baltimore Pike, Suite 202, Media, PA 19063-6104 | 2017-02-23 |
| 1649652439 | Elizabeth Hollinger | Physical Therapist | 1118 W Baltimore Pike, Suite 302, Media, PA 19063-6104 | 2015-06-29 |
| 1043690308 | Neha Buddemeier | Physical Therapist | 1118 W Baltimore Pike, Suite 302, Media, PA 19063-6104 | 2015-06-02 |
| 1104194950 | Theresa Ann Lust | Physical Therapist | 1118 W Baltimore Pike, Ste 302, Media, PA 19063-6104 | 2011-12-08 |
| 1235426891 | Dorothy M Orzechowski | Physical Therapist | 1118 W Baltimore Pike, Health Center 4, 3rd Floor, Media, PA 19063-6104 | 2011-07-05 |
| 1700170420 | Gina Marie Serago | Physical Therapist | 1118 W Baltimore Pike, Ste 302, Media, PA 19063-6104 | 2011-05-31 |
| 1700182532 | Jarod Richard Strauss | Physical Therapist | 1118 W Baltimore Pike, Suite 302, Media, PA 19063-6104 | 2011-01-26 |
| 1821398264 | Michelle M Bochanski | Physical Therapist | 1118 W Baltimore Pike, Ste 302, Media, PA 19063-6104 | 2010-11-02 |
| 1629386826 | Jeffrey Michael Stefanick | Physical Therapist | 1118 W Baltimore Pike, Media, PA 19063-6104 | 2010-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184927006 | James Laurence Colombo | Plastic Surgery | 671 Berry Ln, Media, PA 19063-1137 | 2010-12-15 |
| 1114933892 | Guy M Nardella Jr. | Plastic Surgery | 1118 W Baltimore Pike Ste 100, Media, PA 19063 | 2006-08-01 |
| 1215182415 | Wright Plastic Surgery, P.C. | Plastic Surgery | 1098 W Baltimore Pike, Health Care Center II, Suite 3306, Media, PA 19063-5139 | 2008-12-02 |
| 1043244320 | Sean Anthony Wright | Plastic Surgery | 1098 W Baltimore Pike, Suite 3306, Media, PA 19063-5139 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
| 1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
| 1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
| 1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
| 1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
| 1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
| 1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
| 1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
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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.