Ricky Edward McClure, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00272 Issued in OR

Practice address

713 Golf View Drive
Medford, OR 97504-9643

Phone

(541) 770-1225

Fax

(541) 770-1245

NPI assigned

Sep 26, 2006

Last updated

Jan 5, 2021By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medford Foot & Ankle Clinic, PC

  • Podiatric Clinic/Center
  • Medford, OR
  • NPI 1508967886

  Podiatrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1255432530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GOLF VIEW DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049643",
            "telephone_number": "541-770-1225",
            "fax_number": "541-770-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GOLF VIEW DRIVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049643",
            "telephone_number": "541-770-1225",
            "fax_number": "541-770-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "RICKY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00272",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGION D DMERC CIGNA HC",
            "identifier": "1297890001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230478",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick McClary
• Richard Joseph McCleary
• Nicole Lee McClelland, APRN
• Geoffrey Lynn McClenan, BAI
• Heather McClendon
• Johanna G McCollum, RN BSN
• Gary J McConahay
• Sarah McConnell-Perkins, DPT
• Brandon David McCowan
• Sherry McCowan

• Podiatrist in Medford, OR
• Providers in Medford, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.