Michael D McClintick, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05-18777 Issued in KS

Practice address

1602 N Elm St
Eureka, KS 67045-1090

Phone

(620) 583-7436

Fax

(620) 583-6848

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Family Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenwood County HospitalGroup PAC ID 0042129603, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwood County Hospital HHA Home health agency, Eureka, KS, CCN 177243
• Good Shepherd Hospice Hospice, Wichita, KS, CCN 171561
• Greenwood County Hospital Hospital, Eureka, KS, CCN 171339
• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123
• Eureka Nursing Center Nursing home, Eureka, KS, CCN 175287

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.mcclintick.2@12044.direct.athenahealth.com

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.

• Greenwood County Hospital

  • Critical Access Hospital
  • Eureka, KS
  • NPI 1629044961
  Medicare reassignment Care Compare group
• Carearc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Emporia, KS
  • NPI 1467413906
  NPD
• Carearc, Inc.

  • Public Health or Welfare Agency
  • Emporia, KS
  • NPI 1760658108
  NPD
• Greenwood County Hospital

  • Rural Health Clinic/Center
  • Eureka, KS
  • NPI 1215045299
  NPD (past)
• Greenwood County Hospital

  • Family Medicine Physician
  • Eureka, KS
  • NPI 1861695835
  NPD (past)
• Mercy Kansas Communities Inc

  • Emergency Care Clinic/Center
  • Independence, KS
  • NPI 1417064957
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eureka Nursing, LLC

  • Skilled Nursing Facility
  • Eureka, KS
  • NPI 1730354564

  Nursing home

  Care Compare affiliation
• Good Shepherd Hospice Wichita LLC

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1518069673
  Care Compare affiliation
• Greenwood County Hospital

  • Home Health Agency
  • Eureka, KS
  • NPI 1275531485
  Care Compare affiliation
• Greenwood County Hospital

  • Critical Access Hospital
  • Eureka, KS
  • NPI 1629044961
  Care Compare affiliation
• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation
• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1306954409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864",
            "fax_number": "620-343-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N ELM ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451090",
            "telephone_number": "620-583-7436",
            "fax_number": "620-583-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTICK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-18777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey D Hurt, APRN
• Wilma Knowles, PTA
• Debbra Laforge, RPT
• Deena K Lighty, OTA
• Matthew Standridge, DDS, LLC
• Nancy J McKenzie, PA
• Medicalodges, Inc.
• Medicalodges, Inc.
• Michael J Duffy OD
• Christopher M Miller, DDS

• Family Medicine Physician in Eureka, KS
• Providers in Eureka, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.
• 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.

Verify at the official NPI Registry.