Andrea Annette McClintic, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102205461 Issued in VA

Practice address

2195 Euclid Ave Ste 6
Bristol, VA 24201-3655

Phone

(276) 669-5179

Fax

(276) 466-8870

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 Osteopathy

State licenses

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 and National Provider Directory roles.

• Southwest Virginia Community Health Systems Incorporated

  • Federally Qualified Health Center (FQHC)
  • Saltville, VA
  • NPI 1811967169
  Medicare reassignment NPD
• Southwest Virginia Community Health Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Bristol, VA
  • NPI 1912720459
  NPD
• Southwest Virginia Community Health Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Saltville, VA
  • NPI 1952434383
  NPD
• Primary Care Consultants

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1760494728
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1275545253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4492",
            "fax_number": "276-496-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 EUCLID AVE STE 6",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013655",
            "telephone_number": "276-669-5179",
            "fax_number": "276-466-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTIC",
        "first_name": "ANDREA",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2172",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "2172",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102205461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Mason, RCPRS
• Ray McClellan Massengill III
• Barry Robert Matheson, D.D.S., M.S.D.
• Briana Leigh Maxfield
• Alex L McClintic, D.O.
• Kayla Lynn McFaddin-Dye, PHARMD
• Timothy G McGarry, MD
• McGlothlin Wig Company
• Christine Wright McKenzie, MSC
• Holly McNew, M.D.

• Pediatrics Physician in Bristol, VA
• Providers in Bristol, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.