Active NPI
Neil McClymont, D.O.
- Emergency Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.117348
- Practice address
- 4500 Memorial Dr
Memorial Hospital - ER
Belleville, IL 62226-5360 - Phone
- (618) 233-7750
- Fax
- (618) 257-6860
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2201 | NE | |
| Emergency Medicine Physician | 207P00000X | DO-05564 | IA | |
| Emergency Medicine Physician | 207P00000X | 20A18682 | CA | |
| Emergency Medicine Physician | 207P00000X | 036.117348 | IL | Primary |
Addresses
Primary practice location
4500 Memorial Dr
Memorial Hospital - ER
Belleville, IL 62226-5360
Mailing address
2100 Powell St
Suite 920
Emeryville, CA 94608-1826
Phone (510) 350-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036117348-8 | Medicaid | IL | |
| 1033248208 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18682 | CA | MD | Emergency Medicine Physician |
| 036.117348 | IL | MD | Emergency Medicine Physician |
| 2201 | NE | MD | Physical Therapy Assistant |
| 18682 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| HSHS Holy Family Hospital Inc | Past | Accepting new patients | |
| Midwest Emergency Northern Illinois Inc | Emergency Medicine | Past | Accepting new patients |
| Midway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Foundation for Emergency Services | Emergency Medicine | Past | Accepting new patients |
| Webster Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Foundation for Emergency Services | Past | Accepting new patients |
Locations
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1467468280
-
dba The Clinic at Walmart operated by St. Bernard Hospital
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1992053029
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1447397526
-
- Emergency Medicine Physician
- Ottawa, IL
- NPI 1427217504
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1851339998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1033248208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 920",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2600",
"fax_number": "510-879-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"address_2": "MEMORIAL HOSPITAL - ER",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-233-7750",
"fax_number": "618-257-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLYMONT",
"first_name": "NEIL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "2201",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "DO-05564",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A18682",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.117348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036117348-8",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033248208",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.