Individual provider Active NPI

Erik McClure, DO

  • Anesthesiology Physician
  • Heber City, UT
National Provider Identifier
1033471602
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5169940-1204 Issued in UT
Practice address
899 E 200 S
Heber City, UT 84032
Phone
(660) 998-3704
NPI assigned
Jun 11, 2012
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9407846 KS
Anesthesiology Physician 207L00000X 49129 MT
Interventional Pain Medicine Physician 208VP0014X 11087A WY
Anesthesiology Physician 207L00000X 5169940-1204 UT Primary

Addresses

Primary practice location

899 E 200 S
Heber City, UT 84032

Mailing address

899 East 200 South
Heber City, UT 84032
Phone (660) 998-3704

Other practice location 1

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT, WY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160805001709 UT Practitioner - Anesthesiology 0345497418 Reassigns benefits to 1 organization
I20161028002193 MT Practitioner - Anesthesiology 0345497418 Reassigns benefits to 1 organization
I20180419001197 WY Practitioner - Anesthesiology 0345497418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lincoln County Hospital DistrictGroup PAC ID 4789580218, shared by 4 NPIs, 66 clinicians

Practice addresses (Care Compare)

10764 N US Hwy 30
Cokeville, WY 83114
Phone (307) 885-5970

110 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5852

120 Hospital LN
Afton, WY 83110-9409
Phone (307) 885-5870

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9407846KSMDAnesthesiology Physician
49129MTMDAnesthesiology Physician
5169940-1204UTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince Apr 8, 2019 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Apr 9, 2018 Accepting new patients
Memorial Hospital of Sweetwater County Interventional Pain Medicine CurrentSince Apr 9, 2018 Accepting new patients
North Lincoln County Hospital District CurrentSince Apr 8, 2019 Accepting new patients
Legacy Anesthesia LLC Anesthesiology CurrentSince Aug 15, 2016 Accepting new patients

Locations

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137

120 Hospital Ln
Afton, WY 83110
Phone (307) 734-5864

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: emcclure625018@direct.ochin.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1033471602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 EAST 200 SOUTH",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "660-998-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 E 200 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "84032",
            "telephone_number": "660-998-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ERIK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "9407846",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "49129",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WY",
            "license": "11087A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "5169940-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.