HENRY A MCCLEARY DC LLC (NPI# 1003443359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003443359 |
| Entity Type | Organization |
| Organization Name | HENRY A MCCLEARY DC LLC |
| Practice Address |
2239c Tacketts Mill Dr Woodbridge VA 22192-3026 |
| Practice Telephone | 7034634644 |
| Practice Fax Number | 8555523776 |
| Mailing Telephone | 7034634644 |
| Mailing Fax Number | 8555523776 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | DR. HENRY A MCCLEARY (OWNER) |
| Authorized Official Telephone | 7034634644 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr Macs Wellness | Doing Business As Name - Organization |
| Street Address |
2239C TACKETTS MILL DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1639705387 | Coastal Regenex Ltd | Clinic/Center | 1013 Eden Way N Ste B, Chesapeake, VA 23320-2792 | 2020-03-13 |
| 1902437841 | Speech & Occupational Therapy Specialists | Clinic/Center | 625 Piney Forest Rd Ste 403, Danville, VA 24540-2870 | 2020-01-29 |
| 1073143228 | Brain and Body Regenerative Medicine | Clinic/Center | 3051 Valley Ave Ste 108, Winchester, VA 22601-2658 | 2020-01-16 |
| 1841754272 | Essential Piece Life Enrichment Services | Clinic/Center | 12 Salters Creek Rd Ste 200, Hampton, VA 23661-2453 | 2019-01-30 |
| 1588130744 | Insight Recovery Centers | Clinic/Center | 44340 Premier Plz Ste 230, Ashburn, VA 20147-5074 | 2018-10-15 |
| 1306320130 | Quickcare Health Inc | Clinic/Center | 1013 University Blvd Ste 270-280, Suffolk, VA 23435-0048 | 2018-09-18 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on HENRY A MCCLEARY DC LLC.
| 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.