McCloud Dba Urology Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

A21996 Issued in CA

Legal business name

MCCLOUD DBA UROLOGY CLINIC

Practice address

830 Pine St
Mount Shasta, CA 96067-2137

Phone

(530) 926-3891

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MCCLOUD HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Robin M Veltkamp

Title

Enrollment

Phone

(231) 924-0244

Specialties & licenses 1

Addresses

Part of

Robert M Adams MD

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1164680823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672137",
            "telephone_number": "530-926-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672137",
            "telephone_number": "530-926-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLOUD DBA UROLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCLOUD HEALTH CENTER",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "VELTKAMP",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ENROLLMENT",
        "authorized_official_telephone_number": "231-924-0244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie-Elizabeth Ramas MD Inc
• Elisabeth Markus
• Peter Marquis
• Richard Dean Marshall, PT
• Amanda Mathie
• McCloud Healthcare Clinic, Inc. (Siskiyou Medical Group)
• McCloud Healthcare Clinic, Inc. (Shasta Cascade Health Centers- Mt Shasta)
• McCloud Healthcare Clinic, Inc. (Shasta Cascade Health Centers- Mt Shasta 822 Pine)
• Sally McFall, MFT
• John Warren McGaughey, DDS

• Specialist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.