MICHAEL MCCLELLAN (NPI# 1740760149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740760149 |
| Entity Type | Individual |
| Full Name | MICHAEL MCCLELLAN |
| Practice Address |
1110 W Schick Rd Bartlett IL 60103-3007 |
| Mailing Address |
1 Wheaton Ctr Apt 1507 Wheaton IL 60187-2314 |
| Practice Telephone | 6303721100 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006697 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821665 | Michael M Mcclellan | Internal Medicine | 2135 Dana Avenue, Suite 210, Cincinnati, OH 45207 | 2006-07-11 |
| 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 |
| 1306825906 | Michael Wayne Mcclellan | Medical Genetics | Madigan Army Medical Ctr, Mchj-clg, Tacoma, WA 98431-0001 | 2006-01-11 |
| Street Address |
1110 W SCHICK RD |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043230345 | Dmitry Novoseletsky | Physical Medicine & Rehabilitation | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2006-07-20 |
| 1134690548 | Hannah Kathleen Slinkman | Specialist/Technologist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-12-10 |
| 1245711217 | Molly Calhoun | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-08-27 |
| 1376922187 | Michael Sheehan | Radiology | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2015-05-26 |
| 1053702662 | Suburban Orthopaedics Ltd | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2015-02-18 |
| 1659776425 | Suburban Orthopaedics | Non-Pharmacy Dispensing Site | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2014-10-23 |
| 1013345354 | Keith Welker | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2013-10-24 |
| 1164773727 | Michele Branka | Physical Therapist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2012-09-24 |
| 1720360100 | Lisa Marie Ayotte | Physical Therapist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2011-09-12 |
| 1417256272 | Kyle S. Peterson | Podiatrist | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2011-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578006565 | Ngoc Tran Ami Thi Nguyen | Physician Assistant | 6490 Stage Rd Ste 106, Bartlett, TN 38134-3863 | 2016-11-23 |
| 1245711217 | Molly Calhoun | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2018-08-27 |
| 1730549056 | Amelia Mauldin | Physician Assistant | 6605 Stage Rd, Bartlett, TN 38134-2808 | 2016-02-29 |
| 1013305564 | Caitlin Woodruff | Physician Assistant | 6644 Summer Knoll Cir, Bartlett, TN 38134-2875 | 2015-01-07 |
| 1013345354 | Keith Welker | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103-3007 | 2013-10-24 |
| 1417108259 | Loree A Easley | Physician Assistant | 6570 Stage Rd, Suite 140, Bartlett, TN 38134-2839 | 2008-10-09 |
| 1922288257 | Erin Elizabeth Kobiljak | Physician Assistant | 1041 W Stearns Rd, Bartlett, IL 60103-4509 | 2007-11-03 |
| 1275749475 | Suburban Orthopaedics Ltd | Physician Assistant | 1110 W Schick Rd, Bartlett, IL 60103 | 2007-05-15 |
| 1033223599 | Claire C Ellender | Physician Assistant | 3091 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
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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.