JOHN M MCCLELLAN


Address: Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-1000
Phone: 2539680236

JOHN M MCCLELLAN (NPI# 1245674225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245674225
Entity Type Individual
Full Name JOHN M MCCLELLAN
Practice Address Madigan Army Medical Center 9040 Jackson Avenue
Tacoma
WA 98431-1000
Practice Telephone 2539680236
Mailing Telephone 2539680236
Enumeration Date 2013-04-22
Last Update Date 2019-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
MD60977216 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1245674225 05

Other Providers JOHN MCCLELLAN

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
1821192055 John Kramer Mcclellan Pharmacist 1 W Main St, New Bloomfield, PA 17068-0038 2006-09-08
1114920592 John William Mcclellan IIi Orthopaedic Surgery 13616 California St, Ste 100, Omaha, NE 68154-5335 2005-05-31

Office Location

Street Address MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE
City TACOMA
State WA
Zip Code 98431-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255314944 Mark Isadore Hainer Internal Medicine Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-8561 2005-11-28
1235736901 Jessica Kastl Social Worker Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7212 2020-10-06
1255805651 Trey Baker Nurse Anesthetist, Certified Registered Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-7324 2019-01-18
1063911949 Katherine Naomi Mcleod Registered Nurse Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 2018-02-07
1861831620 Michael David Stockin Anesthesiology Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5001 2013-06-14
1942564943 Stefan George Kazacos Emergency Medicine Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0004 2012-06-25
1124392741 Stacey Stevens Schmiedecke Obstetrics & Gynecology Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 2012-02-29
1295027472 Amilyn Mee Young Han Taplin Neurological Surgery Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 2011-05-06
1427386119 Clemintene Benjamin Social Worker Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-4066 2009-11-18
1841421575 Christopher Bryant Brueckner Optometrist Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-5000 2009-07-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356489231 Ronald M Graff Surgery 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 2007-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437336286 Ts Washington, LLC Surgery 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2008-01-23
1942353016 William C Mcquinn V Surgery 200 15th Ave E, Seattle, WA 98112-5260 2007-01-19
1063446672 Matthew Joseph Eckert Surgery 9040 Fitzsimmons Dr, Dept Surgery, Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431-1000 2006-07-10

Competitor

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City TACOMA
Zip Code 98431

Improve Information

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Dataset Information

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.

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