Robert Michael McClellan, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD012995E Issued in PA

Practice address

1118 W Baltimore Pike
Suite 100, Health Center 4
Media, PA 19063-6104

Phone

(484) 227-8350

Fax

(484) 227-1645

NPI assigned

Jul 30, 2006

Last updated

Oct 21, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1225043961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W BALTIMORE PIKE",
            "address_2": "SUITE 100, HEALTH CENTER 4",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636104",
            "telephone_number": "484-227-8350",
            "fax_number": "484-227-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W BALTIMORE PIKE",
            "address_2": "SUITE 100, HEALTH CENTER 4",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636104",
            "telephone_number": "484-227-8350",
            "fax_number": "484-227-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD012995E",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "PA",
            "license": "MD012995E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCarrin Chiropractic & Physical Therapy Centers Inc
• John Edward McCarrin, D.C.
• Cheryl McCarthy
• Cheryl A McCarthy, H.I.S.
• Donte McCarthy, RBT
• Roger H McConnell, D.M.D.
• Sean McConnell, MD
• McCurdy & Tremblay Cardiovascular Testing
• McCurdy & Tremblay PC (The Cardiovascular Group at Riddle)
• Richard R McCurdy Jr., MD

• Plastic Surgery Physician in Media, PA
• Providers in Media, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.