Active NPI
Merle E McClain, MD
- Pediatrics Physician
- Fort Smith, AR
National Provider Identifier
1073543336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C-4738
- Practice address
- 7001 Rogers Ave
Fort Smith, AR 72903-4073 - Phone
- (479) 452-2077
- NPI assigned
- Jul 3, 2006
- Last updated
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C-4738 | AR | Primary |
Addresses
Primary practice location
7001 Rogers Ave
Fort Smith, AR 72903-4073
Mailing address
PO Box 3528
Fort Smith, AR 72913-3528
Phone (479) 452-2077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105758001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Clinic PA | Past | Accepting new patients | |
| Cooper Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- mmcclain124940@directb.mercy.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1154341931
-
- Clinic/Center
- Fort Smith, AR
- NPI 1366464075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1073543336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3528",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729133528",
"telephone_number": "479-452-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034073",
"telephone_number": "479-452-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "MERLE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "C-4738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105758001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.