EDWARD RUSSELL MCCLELLAN


Address: 1650 Cochrane Cir, Colorado Springs, CO 80913-4613
Phone: 7195267000

EDWARD RUSSELL MCCLELLAN (NPI# 1568874360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568874360
Entity Type Individual
Full Name EDWARD RUSSELL MCCLELLAN
Credential M.D.
Practice Address 1650 Cochrane Cir
Colorado Springs
CO 80913-4613
Mailing Address 1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center
HI 96859-5001
Practice Telephone 7195267000
Mailing Telephone 8084331815
Enumeration Date 2014-05-28
Last Update Date 2018-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 28739 NE Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 968595001 8084331815

Office Location

Street Address 1650 COCHRANE CIR
City COLORADO SPRINGS
State CO
Zip Code 80913-4613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649262601 Mary M. Bourn Social Worker 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2005-08-16
1023628559 Brett Terbeek Student in an Organized Health Care Education/Training Program 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2020-08-10
1609485663 Megan Jernigan Student in an Organized Health Care Education/Training Program 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2020-07-27
1083223291 Nissan Armas Student in an Organized Health Care Education/Training Program 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2020-07-24
1316556590 Lauren Marie Bentley Student in an Organized Health Care Education/Training Program 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2020-07-23
1447869607 Walter Arevalo Student in an Organized Health Care Education/Training Program 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2020-07-23
1851909634 Maria Isabel Aponte Torres Student in an Organized Health Care Education/Training Program 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2020-07-17
1245889252 Heather Frances Fischle Audiologist 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2019-09-11
1154897312 Ileene Samaniego Physician Assistant 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2018-10-15
1003346305 Ronald Doria Family Medicine 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 2017-06-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326651498 Christopher M Juneau Physical Therapist Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 2020-08-28
1003433640 Denise Marie Cacho Dentist Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 2020-06-30
1497378053 Ivan Sergeyevich Koutsopatriy Dentist Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 2020-05-18
1396293478 Kayla Howerton Audiologist 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 2016-09-16
1922472125 Danell Pugh Social Worker Bldg 1657, Fort Carson, CO 80913 2015-11-25
1750761136 Colin Michael Kenny Internal Medicine Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 2015-06-01
1740689736 Rachel Edwards Speech-Language Pathologist Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 2014-08-15
1841617859 Douglas Foote Social Worker 1657 Prussman, Ft. Carson, CO 80913 2014-03-27
1649619396 Brigette Marie Grimes Dietitian, Registered Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 2013-06-17
1467895318 Evans Army Community Hospital Clinic/Center Bldg 2361 Titus Blvd, Ft Carson, CO 80913 2013-04-10
Find all providers in zip 80913

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881225175 Optumcare Colorado Springs, LLC Obstetrics & Gynecology 6285 Lehman Dr Ste 200, Colorado Springs, CO 80918-1498 2020-01-27
1356729974 Maria Daniela Weise-fleckenstein Obstetrics & Gynecology 175 S Union Blvd Ste 220, Colorado Springs, CO 80910-3147 2015-05-14
1265728141 Marlesa Renee Moore Obstetrics & Gynecology 1015 E Pikes Peak Ave Ste 100, Colorado Springs, CO 80903 2011-06-20
1528389368 Caroline Hedges Obstetrics & Gynecology 265 S Parkside Dr Ste 100, Colorado Springs, CO 80910-3140 2010-06-16
1225270317 Kenneth D. Harrison Obstetrics & Gynecology 3350 Camels Ridge Ln, Colorado Springs, CO 80904-1030 2009-04-03
1124289277 Diedre A Wagers Obstetrics & Gynecology 6011 E Woodmen Rd Ste 305, Colorado Springs, CO 80923-2604 2008-06-21
1881898732 John Norville Chatfield Obstetrics & Gynecology 1604 Wood Ave, Colorado Springs, CO 80907-7353 2007-06-13
1881802965 Christy Friday Pearce Obstetrics & Gynecology 6071 E. Woodmen Road Suite 440, Southern Colorado Mfm, Colorado Springs, CO 80923 2007-05-20
1164550299 Fowler & Fowler, P.C. Obstetrics & Gynecology 140 Parkside Drive, Colorado Springs, CO 80910-3129 2007-03-01
1669513461 Sandra K Winn Obstetrics & Gynecology 6011 E. Woodmen Rd, Ste 320, Colorado Springs, CO 80923 2007-02-12
Find all providers in COLORADO SPRINGS

Competitor

Search similar providers

City COLORADO SPRINGS
Zip Code 80913

Improve Information

Please comment or provide details below to improve the information on EDWARD RUSSELL MCCLELLAN.

Dataset Information

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.

Trending Searches