Active NPI
Paul N McClintock, MD
- Family Medicine Physician
- Sparks, NV
National Provider Identifier
1376602573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6075
- Practice address
- 2281 Pyramid Way Suite 9
Sparks, NV 89431-2161 - Phone
- (775) 356-6040
- Fax
- (775) 356-7306
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6075 | NV | Primary |
Addresses
Primary practice location
2281 Pyramid Way Suite 9
Sparks, NV 89431-2161
Mailing address
2281 Pyramid Way Suite 9
Sparks, NV 89431-2161
Phone (775) 356-6040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080046943 | Other | NV | RR MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6075 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1376602573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2281 PYRAMID WAY SUITE 9",
"city": "SPARKS",
"state": "NV",
"postal_code": "894312161",
"telephone_number": "775-356-6040",
"fax_number": "775-356-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 PYRAMID WAY SUITE 9",
"city": "SPARKS",
"state": "NV",
"postal_code": "894312161",
"telephone_number": "775-356-6040",
"fax_number": "775-356-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTOCK",
"first_name": "PAUL",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "6075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080046943",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.