Active NPI
James Steele McClellan III, MD
- Allergy Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- JM073559
- Practice address
- 447 Munson Ave
Traverse City, MI 49686-3084 - Phone
- (231) 929-9090
- Fax
- (231) 929-9092
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | JM073559 | MI | Primary |
Addresses
Primary practice location
447 Munson Ave
Traverse City, MI 49686-3084
Mailing address
447 Munson Ave
Traverse City, MI 49686-3084
Phone (231) 929-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- St. Louis College of Physicians and Surgeons, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
447 Munson Ave
Traverse City, MI 49686-3084
Phone (231) 929-9090
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
- Kalkaska Memorial Health Center
- McLaren Central Michigan
- Mymichigan Medical Center Alpena
- Munson Healthcare Otsego Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JM073559 | MI | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Allergy, P.C. | Allergy | Current | Accepting new patients |
Locations
617 N Court Ave
Gaylord, MI 49735
Phone (989) 731-9532
1200 W North Down River Rd
Ste C
Grayling, MI 49738
Phone (231) 935-6455
447 Munson Ave
Traverse City, MI 49686
603 Bay St
Traverse City, MI 49684
Phone (616) 941-7050
Interoperability endpoints
- james.mcclellan@bsal.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Allergy Physician
- Traverse City, MI
- NPI 1831388537
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1124089073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 MUNSON AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863084",
"telephone_number": "231-929-9090",
"fax_number": "231-929-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 MUNSON AVE",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863084",
"telephone_number": "231-929-9090",
"fax_number": "231-929-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "JAMES",
"middle_name": "STEELE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "JM073559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.