MISS ANDREA LYNN MCLIN (NPI# 1780992263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780992263 |
| Entity Type | Individual |
| Full Name | MISS ANDREA LYNN MCLIN |
| Credential | PA-C |
| Practice Address |
204 Wj Boaz Rd Ste 200 Saginaw TX 76179-4396 |
| Mailing Address |
Po Box 1208 Frisco TX 75034-0021 |
| Practice Telephone | 8175291400 |
| Practice Fax Number | 9727127171 |
| Mailing Telephone | 3166406334 |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2011026869 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
15-01417 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4320 Wornall Rd, Suite 50, Kansas City, MO 64111 | 8169313312 | |
| 9191 Kyser Way, Frisco, TX 750331902 | 9727123131 |
| Street Address |
204 WJ BOAZ RD STE 200 |
| City | SAGINAW |
| State | TX |
| Zip Code | 76179-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821018706 | John Hugo Ansohn | Specialist | 204 Wj Boaz Rd Ste 200, Saginaw, TX 76179-4396 | 2006-07-20 |
| 1457972184 | Saginaw Medical Center | Family Medicine | 204 Wj Boaz Rd Ste 200, Saginaw, TX 76179-4396 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
| 1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
| 1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
| 1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
| 1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
| 1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
| 1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
| 1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
| 1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
| 1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
| Find all providers in zip 76179 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336447002 | Northview Medical House Calls Plc | Physician Assistant | 2475 Midland Rd, Suite 2, Saginaw, MI 48603-8005 | 2011-03-04 |
| 1255489001 | Judith L Sweany | Physician Assistant | 3400 N Center Rd Ste 500, Saginaw, MI 48603-7922 | 2007-01-08 |
| 1447216999 | Jill Anne Lebourdais | Physician Assistant | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2006-04-25 |
| 1386630598 | Brian J Watson | Physician Assistant | 100 S Jefferson Ave, Suite 202, Saginaw, MI 48607-1267 | 2005-09-22 |
| 1083240865 | Jacob Angus Macdowell | Physician Assistant | 3150 Hallmark Ct Ste 2, Saginaw, MI 48603-2173 | 2020-03-12 |
| 1992270870 | Saginaw Valley Family Care, Pllc | Physician Assistant | 4386 State St, Saginaw, MI 48603-4067 | 2018-10-08 |
| 1811356512 | Jennifer Engelby | Physician Assistant | 926 N Michigan Ave, Saginaw, MI 48602-4369 | 2016-02-23 |
| 1598175168 | Marc Evan Thompson | Physician Assistant | 800 Cooper Ave, Saginaw, MI 48602-5394 | 2014-05-05 |
| 1033462635 | Marcus S Breidinger | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2012-10-19 |
| 1972886703 | Zachary Benjamin Retzler | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2011-09-28 |
| Find all providers in SAGINAW | ||||
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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.