MR. DAVID L MCCLAIN (NPI# 1790771954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790771954 |
Entity Type | Individual |
Full Name | MR. DAVID L MCCLAIN |
Credential | ARNP |
Practice Address |
60 Shelton Ln Russellville KY 42276-7203 |
Practice Telephone | 2706324514 |
Practice Fax Number | 2706324518 |
Mailing Telephone | 2706324514 |
Mailing Fax Number | 2706324518 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2019-08-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2134P | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 78010121 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487977443 | David Howard Mcclain | Chiropractor | 5829 W County Road 20, Loveland, CO 80537-8137 | 2010-03-04 |
1780674572 | David Andrew Mcclain | Physician Assistant | 505 E Lake St, Rockwell City, IA 50579-1711 | 2005-10-24 |
1245485226 | David Mcclain | Case Manager/Care Coordinator | 1600 Aldersgate Rd, Suite 200, Little Rock, AR 72205-6614 | 2008-11-18 |
1851329767 | David Charles Mcclain | Family Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2006-06-29 |
1477503373 | David John Mcclain | Internal Medicine | 900 Hendersonville Rd Ste 205, Asheville, NC 28803-1753 | 2006-05-11 |
Street Address |
60 SHELTON LN |
City | RUSSELLVILLE |
State | KY |
Zip Code | 42276-7203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609310358 | Priority Primary Care LLC | Pediatrics | 60 Shelton Ln, Russellville, KY 42276-7203 | 2016-12-15 |
1154354595 | Lifeline Health Care of Kentucky #3, Inc. | Home Health | 60 Shelton Ln, Russellville, KY 42276-7203 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
Find all providers in zip 42276 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
1649731829 | Haley Shaleigh Knight | Nurse Practitioner | 15225 Highway 43 Ste I, Russellville, AL 35653-1969 | 2019-03-28 |
1427516418 | Hanna Helich Henderson | Nurse Practitioner | 1040 Beth Dr, Russellville, TN 37860-8985 | 2019-03-08 |
1669979530 | Robin Lenora Franke | Nurse Practitioner | 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 | 2018-04-09 |
1679024798 | Teresa Anne Distler | Nurse Practitioner | 12103 County Line Rd, Russellville, MO 65074-2814 | 2016-10-24 |
1487003364 | Robert Barnowsky | Nurse Practitioner | 101 James N Hovater Rd, Russellville, AL 35653-0626 | 2016-06-10 |
1457706012 | Sarah Baxley | Nurse Practitioner | 106 Weir Rd, Ste 4, Russellville, AR 72802-9445 | 2016-05-02 |
1720385545 | Robin Michelle Joslin | Nurse Practitioner | 1605 Coliseuam Drive Doc Bryan Building, Suite 119, Russellville, AR 72801 | 2011-02-14 |
1710116066 | Family Medical Clinic LLC | Nurse Practitioner | 1355 George Wallace Hwy, Russellville, AL 35654-3281 | 2009-07-08 |
1821245069 | Agalia Renea Baker | Nurse Practitioner | 350 Walleye Dr, Russellville, AR 72802-7282 | 2008-08-19 |
Find all providers in RUSSELLVILLE |
City | RUSSELLVILLE |
Zip Code | 42276 |
Please comment or provide details below to improve the information on MR. DAVID L MCCLAIN.
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.