KEVIN J MCCLELLAND (NPI# 1003850918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003850918 |
| Entity Type | Individual |
| Full Name | KEVIN J MCCLELLAND |
| Credential | MD |
| Practice Address |
1615 Maple Ln Ashland WI 54806-3610 |
| Practice Telephone | 7156855290 |
| Practice Fax Number | 7156855118 |
| Mailing Telephone | 7156855500 |
| Mailing Fax Number | 7156855118 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
33292 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31836700 | 05 | |
| PTAN | 521359 | 01 |
| Street Address |
1615 MAPLE LN |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973508 | Laura K Fortner | Specialist | 1615 Maple Ln, Suite 1, Ashland, WI 54806-3610 | 2005-09-27 |
| 1679185029 | Jacqueline Marie Grimm | Social Worker | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-08-18 |
| 1669097358 | Kelsey E Larson | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-06-09 |
| 1003440967 | Barbara E Jusula | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3626 | 2020-02-28 |
| 1841853611 | Paul Michael Kasper | Physician Assistant | 1615 Maple Ln, Ashland, WI 54806-3626 | 2019-04-17 |
| 1770047235 | Ashley Elizabeth Runge | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2019-01-29 |
| 1093220089 | Thomas William Jorgensen | Nurse Anesthetist, Certified Registered | 1615 Maple Ln, Ashland, WI 54806-3626 | 2017-12-12 |
| 1033664719 | Melissa Jean Malmberg | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2016-08-23 |
| 1922488279 | Jenelle Elza | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3610 | 2015-06-02 |
| 1811329006 | David L Mischel | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912200114 | Bellefonte Physician Services, Inc | Internal Medicine | 1101 Saint Christopher Dr Ste 350, Ashland, KY 41101-7000 | 2010-12-09 |
| 1992813992 | Arthur Aung Gaing | Internal Medicine | 613 23rd St Ste 350, Ashland, KY 41101-2879 | 2006-08-29 |
| 1720078991 | Craig C Chow | Internal Medicine | 743 N Main St, Ashland, OR 97520-1752 | 2005-10-27 |
| 1659367654 | Rajkumar K Warrier | Internal Medicine | 300 Saint Christopher Dr, Ashland, KY 41101-7020 | 2005-09-25 |
| 1023456043 | Liege Isabel Diaz Urrutia | Internal Medicine | 613 23rd St Ste 350, Ashland, KY 41101-2879 | 2013-06-12 |
| 1154571172 | Mardini & Associates Md, Psc | Internal Medicine | 613 23rd St, Suite 120, Ashland, KY 41101-2878 | 2008-09-26 |
| 1578601787 | Ashland Gastroenterology, LLC | Internal Medicine | 743 N Main St, Ashland, OR 97520-1752 | 2007-02-01 |
| 1780736421 | Arthur A. Gaing, M.d.,pllc. | Internal Medicine | 1200 Central Ave, Suite 3, Ashland, KY 41101-7575 | 2007-01-16 |
| 1194876227 | Arthur A Gaing, M.d. | Internal Medicine | 617 23rd Street, Suite 11, Ashland, KY 41101 | 2007-01-16 |
| 1851467237 | Tri-state Digestive Disease Assoc Psc. | Internal Medicine | 617 23rd St, Suiye 11, Ashland, KY 41101-2845 | 2006-11-28 |
| Find all providers in ASHLAND | ||||
Please comment or provide details below to improve the information on KEVIN J MCCLELLAND.
| 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.