Individual provider Active NPI

Steven George McCloy, M.D.

  • Occupational Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1235125808
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
05160 Issued in RI
Practice address
100 Smithfield Ave
Axiom Occupational Health LLC
Pawtucket, RI 02860-3474
Phone
(401) 312-0545
Fax
(401) 725-8064
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05160 RI
Occupational Medicine Physician 2083X0100X 05160 RI Primary

Addresses

Primary practice location

100 Smithfield Ave
Axiom Occupational Health LLC
Pawtucket, RI 02860-3474

Mailing address

100 Smithfield Ave
Axiom Occupational Health LLC
Pawtucket, RI 02860-3497
Phone (401) 312-0545

Other identifiers 2

IdentifierTypeStateIssuer
50318OtherMASTATE LICENSE
RI05160OtherRISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
05160RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Pawtucket Internal Medicine Past Accepting new patients
Axiom Occupational Health, LLC Occupational Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1235125808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SMITHFIELD AVE",
            "address_2": "AXIOM OCCUPATIONAL HEALTH LLC",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603497",
            "telephone_number": "401-312-0545",
            "fax_number": "401-312-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITHFIELD AVE",
            "address_2": "AXIOM OCCUPATIONAL HEALTH LLC",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603474",
            "telephone_number": "401-312-0545",
            "fax_number": "401-725-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOY",
        "first_name": "STEVEN",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "05160",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "RI",
            "license": "05160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "50318",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RI05160",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.