KEVIN LEONARD MCCLINTOCK (NPI# 1366400178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366400178 |
| Entity Type | Individual |
| Full Name | KEVIN LEONARD MCCLINTOCK |
| Credential | M.D. |
| Practice Address |
1207 Pueblo Boulevard Way Pueblo CO 81005-2175 |
| Mailing Address |
801 West Colorado Ave Trinidad CO 81082-1319 |
| Practice Telephone | 1954200327 |
| Practice Fax Number | 7195421413 |
| Mailing Telephone | 7198463133 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 35456 | CO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | DR.0035456 | CO | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
DR.0035456 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01354562 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1107 Pueblo Boulevard Way, Pueblo, CO 810051595 | 7195420032 | 7195421413 |
| 1502 E Main St Ste 1, Trinidad, CO 810822014 | 7198463060 | 7194228358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124458088 | Kevin Mcclintock | Specialist/Technologist | 12500 Campus Dr, Oakland, CA 94619-3107 | 2013-11-13 |
| Street Address |
1207 PUEBLO BOULEVARD WAY |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041252 | Sangre De Cristo Hospice & Palliative Care | Hospice Care, Community Based | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2005-05-24 |
| 1558917898 | Crystal Gerlock | Social Worker | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2019-08-13 |
| 1679129118 | Brittney Paige Keys | Family Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2019-08-12 |
| 1922404276 | Jean R Haver | Social Worker | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2014-11-14 |
| 1063851517 | Rebecca Elizabeth Holder-nuzzo | Internal Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2013-06-18 |
| 1780828004 | Lauren Kelley Smith | Internal Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2009-04-30 |
| 1255453924 | Bernard-dean Frank Marucci | Family Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2007-04-04 |
| 1245377803 | Janise T Denton | Family Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2007-01-31 |
| 1588722250 | Marlow M Sloan | Specialist | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137158 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 260, Pueblo, CO 81003-2729 | 2019-10-30 |
| 1851933543 | Parkview Ancillary Services | Family Medicine | 1600 N. Grand Ave., Ste. 510, Pueblo, CO 81003-2700 | 2019-10-14 |
| 1255453924 | Bernard-dean Frank Marucci | Family Medicine | 1207 Pueblo Boulevard Way, Pueblo, CO 81005-2175 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595374 | Hopewest | Family Medicine | 725 S 4th St, Montrose, CO 81401-4222 | 2020-10-15 |
| 1437705977 | Insight Medical Counseling, LLC | Family Medicine | 643 Panorama Dr, Grand Junction, CO 81507-4028 | 2019-08-12 |
| 1134415524 | Morgan Jayne Unruh | Family Medicine | 1700 Wheeling St # G2-259b, Aurora, CO 80045-7211 | 2011-06-23 |
| 1023237633 | Colorado Family Medicine | Family Medicine | 128 Steele St Ste 300, Denver, CO 80206-5218 | 2007-04-24 |
| 1477567170 | Gary R Graham | Family Medicine | 4605 Belford Cir, Broomfield, CO 80023-8110 | 2006-07-28 |
| 1972549210 | Gayle F Bereskin | Family Medicine | 247 Rendezvous Dr, Lafayette, CO 80026-3399 | 2006-06-22 |
| 1427041227 | Hopewest | Family Medicine | 2754 Compass Dr, Ste 377, Grand Junction, CO 81506-8723 | 2005-08-26 |
| 1851990980 | Hopewest | Family Medicine | 3090 N 12th St Unit B, Grand Junction, CO 81506-2804 | 2020-10-20 |
| 1326646886 | Hopewest | Family Medicine | 195 Stafford Ln, Delta, CO 81416-2229 | 2020-10-15 |
| 1861004228 | Colorado Visiting Nurse Association | Family Medicine | 6750 W 52nd Ave, Arvada, CO 80002-3928 | 2020-08-18 |
| 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.