GREGORY J MCCLELLAND (NPI# 1679632905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679632905 |
| Entity Type | Individual |
| Full Name | GREGORY J MCCLELLAND |
| Credential | P.A. |
| Practice Address |
11111 Research Blvd Suite 300 Austin TX 78759-5264 |
| Mailing Address |
11111 Research Blvd Ste 300 Austin Children's Chest Associates Austin TX 78759-5792 |
| Practice Telephone | 5123809200 |
| Practice Fax Number | 5123809201 |
| Mailing Telephone | 5123809200 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05966 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 323738001 | 05 | |
| TX | 323738002 | 05 |
| Street Address |
11111 RESEARCH BLVD SUITE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545186 | Marsha Hillary Onan | Ophthalmology | 11111 Research Blvd, Suite 220, Austin, TX 78759-5264 | 2005-08-11 |
| 1639500465 | Kathryn Ruth Shirley | Nurse Practitioner | 11111 Research Blvd, Ll2, Austin, TX 78759-5264 | 2013-12-04 |
| 1528309739 | Angela Michelle Pena | Nurse Practitioner | 11111 Research Blvd, Ll2, Austin, TX 78759-5264 | 2013-03-13 |
| 1235484957 | Maeturah Zoe Harmon | Obstetrics & Gynecology | 11111 Research Blvd, Suite 230, Austin, TX 78759-5264 | 2012-07-18 |
| 1679851901 | Deirdre M Rhoad M D P A | Specialist | 11111 Research Blvd, Suite 310, Austin, TX 78759-5264 | 2011-08-04 |
| 1225336274 | Cynthia Chaparro-krueger | Obstetrics & Gynecology | 11111 Research Blvd, Suite 230, Austin, TX 78759-5264 | 2011-02-28 |
| 1568769032 | Kellie M Barrett | Physician Assistant | 11111 Research Blvd, 300, Austin, TX 78759-5264 | 2011-02-18 |
| 1104139575 | Cardiovascular Associates Northwest Pllc | Nuclear Medicine | 11111 Research Blvd, Suite 360, Austin, TX 78759-5264 | 2010-07-14 |
| 1790010585 | Austin Texas Radiation Oncology Group, Pa | Specialist | 11111 Research Blvd, Austin, TX 78759-5264 | 2009-10-12 |
| 1679711279 | Peter Jeffrey Gembol | Nurse Practitioner | 11111 Research Blvd, Ste 310, Austin, TX 78759-5264 | 2009-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
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| 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 |
|---|---|---|---|---|
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1366050353 | Katherine Elizabeth Mankus | Physician Assistant | 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 | 2020-07-16 |
| 1629695044 | Brittany Ho | Physician Assistant | 12601 Scofield Farms Dr, Austin, TX 78727-4542 | 2020-07-01 |
| 1679197925 | Malia Scott | Physician Assistant | 2217 Park Bend Dr, Austin, TX 78758-5365 | 2020-06-02 |
| 1659992451 | Christopher Kent Brown | Physician Assistant | 2200 W 35th St Bldg 8, Austin, TX 78703-1222 | 2020-05-03 |
| 1982236550 | Stephen Young | Physician Assistant | 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 | 2020-02-11 |
| 1528608908 | Megan Paige Sutphin | Physician Assistant | 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 | 2020-01-13 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1619528569 | Lauren Michelle Feierstein | Physician Assistant | 4505 Duval St Apt 115, Austin, TX 78751-3225 | 2019-09-23 |
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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.