Individual provider Active NPI

Mallory L McClure, MD

  • Cardiovascular Disease Physician
  • Chambersburg, PA
National Provider Identifier
1124014733
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD457102 Issued in PA
Practice address
22 St Paul Dr Ste 201
Chambersburg, PA 17201-1036
Phone
(717) 217-6944
Fax
(717) 217-6955
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35079825 OH
Cardiovascular Disease Physician 207RC0000X D0076409 MD
Cardiovascular Disease Physician 207RC0000X MD457102 PA Primary

Addresses

Primary practice location

22 St Paul Dr Ste 201
Chambersburg, PA 17201-1036

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Phone (301) 645-5100

Other practice location 2

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944

Other practice location 3

501 E Main St Fl 2
Waynesboro, PA 17268-2353
Phone (717) 217-6944

Other practice location 4

338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103

Other identifiers 2

IdentifierTypeStateIssuer
103121942MedicaidPA
2331444MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040219000084 OH Practitioner - Internal Medicine 3678468543 Reassigns benefits to 2 organizations
I20160413000846 PA Practitioner - Cardiovascular Disease (Cardiology) 3678468543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

12 St Paul Dr
Chambersburg, PA 17201-1035

22 St Paul Dr
Chambersburg, PA 17201-1036

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219

501 E Main St
Waynesboro, PA 17268-2353

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079825OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2016 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Oct 5, 2015 Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Community Hospitalist, LLC CurrentSince Sep 1, 2015 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2016 Accepting new patients
Summit Physician Services Cardiovascular Disease Past Accepting new patients

Locations

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

22 St Paul Dr
Ste 201
Chambersburg, PA 17201
Phone (717) 217-6955

100 N Academy Ave
Danville, PA 17822

97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

501 E Main St
Fl 2
Waynesboro, PA 17268

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: mmcclure227835@wellspan.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 11

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1124014733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ST PAUL DR STE 201",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011036",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12070 Old Line Ctr",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022513",
            "country_code": "US",
            "telephone_number": "301-645-5100",
            "fax_number": "301-893-2861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-218-5103",
            "fax_number": "717-303-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MALLORY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35079825",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0076409",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD457102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103121942",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2331444",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.