MICHAEL WAYNE MCCLELLAN (NPI# 1306825906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306825906 |
| Entity Type | Individual |
| Full Name | MICHAEL WAYNE MCCLELLAN |
| Credential | MD |
| Practice Address |
Madigan Army Medical Ctr Mchj-clg Tacoma WA 98431-0001 |
| Mailing Address |
3728 30th Avenue Ct Nw Gig Harbor WA 98335-8550 |
| Practice Telephone | 2539685610 |
| Mailing Telephone | 2538532720 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MD044161-E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821665 | Michael M Mcclellan | Internal Medicine | 2135 Dana Avenue, Suite 210, Cincinnati, OH 45207 | 2006-07-11 |
| 1740760149 | Michael Mcclellan | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-08-15 |
| 1770077299 | Michael Mcclellan | Case Manager/Care Coordinator | 771 W 13th St, Atoka, OK 74525-3712 | 2018-06-18 |
| 1063906972 | Michael Taylor Mcclellan | Physician Assistant | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2018-06-15 |
| 1184789273 | Michael Richard Mcclellan | Chiropractor | 3731 Rainbow Dr, Ste A, Rainbow City, AL 35906-6307 | 2006-12-27 |
| 1386747202 | Michael Mcclellan | Physical Therapist | 2140 Franklin Turnpike, Danville, VA 24540 | 2006-09-06 |
| 1770699209 | Michael Douglas Mcclellan | Internal Medicine | 5200 Dtc Pkwy, Suite 400, Greenwood Village, CO 80111-2709 | 2006-08-21 |
| Street Address |
MADIGAN ARMY MEDICAL CTR MCHJ-CLG |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114954 | Larry E Witham | Physician Assistant | Madigan Army Medical Ctr, 9040a Reid Street, Tacoma, WA 98431-1100 | 2005-06-16 |
| 1417483512 | Carah Labrier | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Aveunue, Tacoma, WA 98431-0001 | 2017-05-10 |
| 1396270823 | Cherise Janen Hartman | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-21 |
| 1356876924 | Joseph Durso | Student in an Organized Health Care Education/Training Program | Madigan Army Medical Ctr, 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2017-04-20 |
| 1891228474 | Alfonso David Bernal-stevens | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-10 |
| 1730612573 | Tifani Mcgovern | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-04-08 |
| 1770024184 | Susan Marie Beale | Licensed Practical Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-17 |
| 1417498957 | Danielle Jones | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave. Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-16 |
| 1962943514 | Edwin Pampo | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-15 |
| 1497296578 | Margie Ayala | Technician, Pathology | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-09 |
| Find all providers in the same location | ||||
| 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 Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412813 | Amy Lawson Yuen | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2005-10-25 |
| 1275945081 | Jessica Ogawa | Medical Genetics | 311 S L St, Tacoma, WA 98405-3720 | 2014-05-28 |
| 1821422106 | Reproductive Genetics and Fertility | Medical Genetics | 2201 S 19th St, Tacoma, WA 98405-2962 | 2013-08-22 |
| 1720206022 | Jacob Hogue | Medical Genetics | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316196124 | Ghayda Mirzaa | Medical Genetics | 1900 9th Ave, Mailstop C9s-10, Seattle, WA 98101-1309 | 2008-09-17 |
| 1629267067 | Sarah L. Dugan | Medical Genetics | 105 W 8th Ave Ste 454e, Spokane, WA 99204-2318 | 2007-10-22 |
| 1164632170 | Mitzi L Murray | Medical Genetics | 3905 Rockridge Pkwy, Anacortes, WA 98221-4515 | 2007-05-22 |
| 1174600183 | Kristine Michelle King | Medical Genetics | 4033 Talbot Rd S Ste 470, Renton, WA 98055-5700 | 2006-11-01 |
| 1871689273 | Nancy Louise Fisher | Medical Genetics | 676 Woodland Sq Loop Se, Ms 42701, Olympia, WA 98504-2701 | 2006-10-04 |
| 1184636227 | Melissa Ann Parisi | Medical Genetics | 4800 Sand Point Way Ne # M2-9, Children's Hospital and Regional Medical Center, Seattle, WA 98105-3901 | 2006-08-13 |
| 1922064088 | Holly Hutchison Ardinger | Medical Genetics | 12404 Kallgren Rd Ne, Bainbridge Island, WA 98110-3328 | 2006-04-25 |
| 1053806711 | Yakima Valley Memorial Hospital | Medical Genetics | 3801 Kern Road, Yakima, WA 98902 | 2018-06-26 |
| 1033539671 | Irene Joan Chang | Medical Genetics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-22 |
| 1447678206 | Marianne Emmanuelle Dubard-gault | Medical Genetics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2014-03-30 |
| Find all providers with the same taxonomy | ||||
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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.