DR. JOHN WILLIAM MCCLELLAN III (NPI# 1114920592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114920592 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM MCCLELLAN III |
| Credential | M.D. |
| Practice Address |
13616 California St Ste 100 Omaha NE 68154-5335 |
| Practice Telephone | 4024960404 |
| Practice Fax Number | 4024960517 |
| Mailing Telephone | 4024960404 |
| Mailing Fax Number | 4024960517 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2009-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
19730 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 00094 | 01 |
| NE | 47081304012 | 05 | |
| NE | 1514281 | 05 | |
| NE | RAILROAD MEDICARE | 200037481 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526554 | John W Mcclellan Jr. | Family Medicine | 1015 N Elm St, Henderson, KY 42420-2712 | 2006-04-10 |
| 1710974472 | John B Mcclellan IIi | Orthopaedic Surgery | 5540 W 111th St, Oak Lawn, IL 60453-5574 | 2005-09-28 |
| 1932510039 | John Mcclellan Jr. | Counselor | 1101 E Washington Ave, Mcalester, OK 74501-4919 | 2014-05-13 |
| 1245674225 | John M Mcclellan | Surgery | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000 | 2013-04-22 |
| 1821192055 | John Kramer Mcclellan | Pharmacist | 1 W Main St, New Bloomfield, PA 17068-0038 | 2006-09-08 |
| Street Address |
13616 CALIFORNIA ST STE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243755 | Howard Randal Woodward | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2005-05-31 |
| 1144636341 | Michelle White | Specialist/Technologist | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2014-07-08 |
| 1073897484 | Rachel A Gusse | Physical Therapist | 13616 California St, Omaha, NE 68154-5335 | 2011-10-04 |
| 1699906990 | Katie Cook | Physician Assistant | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2009-08-04 |
| 1518128834 | Scott A. Haughawout | Physical Medicine & Rehabilitation | 13616 California St, Suite 100, Omaha, NE 68154-5335 | 2008-06-19 |
| 1992963631 | Patrick W Bowman | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2008-05-29 |
| 1760680011 | Jeremiah P Ladd | Physical Medicine & Rehabilitation | 13616 California St, Suite #100, Omaha, NE 68154-5335 | 2007-07-10 |
| 1669503108 | John D Hain | Neurological Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5336 | 2007-03-08 |
| 1962551440 | James Brian Gill | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2007-01-10 |
| 1366535049 | Jennelea R Montanez | Physician Assistant | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103818 | Spine Cin of Omaha LLC | Orthopaedic Surgery | 4611 S 96th St Ste 252, Omaha, NE 68127-1244 | 2018-02-06 |
| 1700385630 | Joint Replacement Cin of Omaha LLC | Orthopaedic Surgery | 4611 S 96th St Ste 253, Omaha, NE 68127-1244 | 2018-02-06 |
| 1497704258 | Chris A. Cornett | Orthopaedic Surgery | University of Nebraska Medical, 981080 Nebraska Medical Center, Omaha, NE 68198-1080 | 2006-05-09 |
| 1386106474 | Sne Care of Ne, LLC | Orthopaedic Surgery | 4611 S 96th St, Omaha, NE 68127-1202 | 2019-04-05 |
| 1336601830 | H Randal Woodward Md PC | Orthopaedic Surgery | 6751 N 72nd St, Omaha, NE 68122-1746 | 2019-04-03 |
| 1154682052 | Chase Colton Woodward | Orthopaedic Surgery | 13616 California St Ste 100, Omaha, NE 68154-5336 | 2012-06-06 |
| 1992963631 | Patrick W Bowman | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2008-05-29 |
| 1053314443 | Jonathan Ellis Fuller | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2005-05-31 |
| 1770586182 | Michael Charles Longley | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2005-05-31 |
| 1952304362 | Eric Donald Phillips | Orthopaedic Surgery | 13616 California St, Ste 100, Omaha, NE 68154-5335 | 2005-05-31 |
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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.