DR. TIM MCCLELLAN (NPI# 1447238670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447238670 |
| Entity Type | Individual |
| Full Name | DR. TIM MCCLELLAN |
| Credential | M.D. |
| Practice Address |
1104 Brook Ave Wichita Falls TX 76301-5049 |
| Practice Telephone | 9406876870 |
| Practice Fax Number | 9406876870 |
| Mailing Telephone | 9406876870 |
| Mailing Fax Number | 9406876870 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
K5350 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1133258-04 | 05 |
| Street Address |
1104 BROOK AVE |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285923094 | Joshua James Stagg | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2011-04-01 |
| 1558675819 | Jenna Marie Chapa | Nurse Practitioner | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2010-07-28 |
| 1548581473 | Christopher Morrison | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2010-06-15 |
| 1740419597 | Haq Nawaz | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2009-07-14 |
| 1861632903 | Javier Gomez | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2009-03-03 |
| 1265489298 | Wichita Falls Gastroenterology Associates | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1487677936 | Konappa H Murthy | Internal Medicine | 1815 10th St, Wichita Falls, TX 76301-5054 | 2006-07-25 |
| 1477516938 | Louis J Wilson | Internal Medicine | 1104 Brook Avenue, Wichita Falls, TX 76301-5049 | 2006-04-07 |
| 1922076249 | Joe A Dean | Internal Medicine | 500 Kell West Blvd, Suite 400, Wichita Falls, TX 76310-1612 | 2006-03-11 |
| 1285923094 | Joshua James Stagg | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2011-04-01 |
| 1548581473 | Christopher Morrison | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2010-06-15 |
| 1740419597 | Haq Nawaz | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2009-07-14 |
| 1861632903 | Javier Gomez | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2009-03-03 |
| 1265489298 | Wichita Falls Gastroenterology Associates | Internal Medicine | 1104 Brook Ave, Wichita Falls, TX 76301-5049 | 2006-05-27 |
| 1821076076 | Charles Thueson | Internal Medicine | 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | 2006-01-06 |
| 1962496794 | Rick Y Ho | Internal Medicine | 2945 Southwest Pkwy, Wichita Falls, TX 76308-4145 | 2005-09-08 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on DR. TIM MCCLELLAN.
| 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.