Active NPI
Ashley Dior McClary
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10174
- Practice address
- 3607 Manor Rd
Ste 100
Austin, TX 78723-5816 - Phone
- (512) 928-4600
- NPI assigned
- Jul 17, 2012
- Last updated
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | ||
| Physician Assistant | 363A00000X | PA10174 | TX | Primary |
Addresses
Primary practice location
3607 Manor Rd
Ste 100
Austin, TX 78723-5816
Mailing address
6804 N Capital of Texas Hwy
Apt 723
Austin, TX 78731-1771
Phone (843) 356-0975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SC, UT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4387 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DDHC Enterprises LLC | Current | Accepting new patients | |
| Signify Health, LLC | Physician Assistant | Current | Accepting new patients |
| Emergency Medicine Physicians of Suffolk County, PLLC | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403
Organizations & group practices 4
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.
-
dba Devoted Doves Home Care
- In Home Supportive Care Agency
- Austin, TX
- NPI 1649816752
-
- Emergency Medicine Physician
- East Patchogue, NY
- NPI 1669783924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1205181013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 N CAPITAL OF TEXAS HWY",
"address_2": "APT 723",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311771",
"telephone_number": "843-356-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 MANOR RD",
"address_2": "STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787235816",
"telephone_number": "512-928-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLARY",
"first_name": "ASHLEY",
"middle_name": "DIOR",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.