Willie C Mcclairen Jr.


Address: 315 University Ave, Des Moines, IA 50314-3126

Willie C Mcclairen Jr. (NPI# 1588768857, PAC ID# 3870527336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1588768857
PAC ID by PECOS 3870527336
Professional Enrollment ID I20050923000371
Full Name Willie C Mcclairen Jr.
Address 315 University Ave
Des Moines
IA 50314-3126
Gender M
Credential MD
Medical School PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1985
Primary Specialty GENERAL SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
160083 MERCY MEDICAL CENTER-DES MOINES
160082 IOWA METHODIST MEDICAL CENTER
161355 KNOXVILLE HOSPITAL & CLINICS

Other Locations

Address Phone Organization
1111 6th Ave, Suite B1, Des Moines, IA 50314-2610 5153580100 MERCY CLINICS INC
1111 6th Ave - Emergency Dept, Mercy Emergency Physicians, Des Moines, IA 50314-2610 5152474445 MERCY CLINICS INC
315 University Ave, Des Moines, IA 50314-3126

Organization Information

Office Location

Street Address 315 UNIVERSITY AVE
City DES MOINES
State IA
Zip 50314-3126

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Edward G Jones Family Medicine Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Brahmananda P Makkapati Psychiatry Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Jillian J Grund Certified Registered Nurse Anesthetist (crna) Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Lorie A Montag Pathology Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Julie A Schuck Nurse Practitioner Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Monique P Root Optometry Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Mohammad S Iqbal Pain Management Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
Nicholas Joseph Galioto Family Medicine Broadlawns Medical Center 1801 Hickman Rd, Des Moines, IA 50314-1505
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Competitor

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City DES MOINES
Zip Code 50314
Specialty GENERAL SURGERY
City + Specialty DES MOINES + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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