Thomas G. McCleary, DO

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

005476 Issued in AZ

Practice address

3200 N Windsong Dr
Prescott Valley, AZ 86314-2255

Phone

(928) 772-1505

Fax

(928) 772-6343

NPI assigned

Jun 10, 2006

Last updated

Feb 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Community Medical Group, LLC

  dba Community Care of the Grand Valley

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1629201637
  NPD (past)
• Med-X., P.C.

  • Urgent Care Clinic/Center
  • Grand Junction, CO
  • NPI 1942499124
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1124069968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-772-1505",
            "fax_number": "928-772-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-772-1505",
            "fax_number": "928-772-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "005476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "116913561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles Maxwell, HIS
• Shannon Mayotte, BSN RN
• Paula McCann
• Crystal McCarthy, PMHNP
• James W. McCarver, M.D.
• Lori L McDonald, LMT
• Sheryl McGeary, RN
• Timothy Lee McGhee, FNP-C
• Catherine A McKinnon, RN
• Melissa McLemore, LMT

• Geriatric Medicine (Internal Medicine) Physician in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.