Individual provider Active NPI

Joseph M McClain, MD

  • Surgery Physician
  • Cape Girardeau, MO
National Provider Identifier
1073564985
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2007013977 Issued in MO
Practice address
3250 Gordonville Rd Ste 384
Cape Girardeau, MO 63703-5095
Phone
(573) 331-5522
Fax
(573) 331-5523
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 36034 AZ
Surgical Critical Care Physician 2086S0102X 36034 AZ
Trauma Surgery Physician 2086S0127X 2007013977 MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2007013977 MO
Surgery Physician 208600000X 2007013977 MO Primary

Addresses

Primary practice location

3250 Gordonville Rd Ste 384
Cape Girardeau, MO 63703-5095

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Other practice location 1

16601 N 40th St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 633-3721

Other identifiers 1

IdentifierTypeStateIssuer
315276MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AZ, OH3 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
I20151105000976 AL Practitioner - General Surgery 9234023128
I20160217002564 AZ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 9234023128 Reassigns benefits to 3 organizations
I20160302002058 OH Practitioner - Critical Care (Intensivists) 9234023128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20326NEMDLicensed Practical Nurse
24966NEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Mar 1, 2017 Accepting new patients
Effideen Ameerally MD PC CurrentSince Mar 1, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Geisinger Clinic CurrentSince Mar 1, 2017 Accepting new patients
Honorhealth Surgery Current Accepting new patients
Honorhealth CurrentSince Aug 8, 2019 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jan 15, 2018 Accepting new patients
Valley Surgical Clinics, LTD Surgery CurrentSince Oct 17, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Honorhealth CurrentSince Aug 8, 2019 Accepting new patients
Faith Regional Physician Services, LLC Critical Care Medicine PastSince Dec 28, 2015 Accepting new patients
Faith Regional Physician Services, LLC Past Accepting new patients
Maryland Vein Professionals, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16601 N 40th St
Ste 204
Phoenix, AZ 85032
Phone (602) 633-3721

9250 N 3rd St
Ste 3015
Phoenix, AZ 85020
Phone (480) 867-7171

10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

8897 E Desert CV Ave
1St FL
Scottsdale, AZ 85260

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Interoperability endpoints

  • Direct secure messaging: josephmcclain@vsc.allscriptsdirect.net

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1073564985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD STE 384",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035095",
            "telephone_number": "573-331-5522",
            "fax_number": "573-331-5523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16601 N 40th St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850323356",
            "country_code": "US",
            "telephone_number": "602-633-3721",
            "fax_number": "602-953-5466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "36034",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AZ",
            "license": "36034",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MO",
            "license": "2007013977",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2007013977",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2007013977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315276",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.