E a McCleskey, DO, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

E A MCCLESKEY, DO, LLC

Practice address

103 Intercom Dr Ste B
Madison, AL 35758-2641

Phone

(256) 280-3990

Fax

(256) 280-3991

NPI assigned

Jan 6, 2020

Last updated

Jan 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth McCleskey, DO, DO

Title

Member (Owner)

Phone

(256) 280-3990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann McCleskey, D.O.

  • Family Medicine Physician
  • Madison, AL
  • NPI 1508008384
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1386283471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 INTERCOM DR STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582641",
            "telephone_number": "256-280-3990",
            "fax_number": "256-280-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 INTERCOM DR STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582641",
            "telephone_number": "256-280-3990",
            "fax_number": "256-280-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E A MCCLESKEY, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MCCLESKEY,",
        "authorized_official_title_or_position": "MEMBER (OWNER)",
        "authorized_official_telephone_number": "256-280-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rae Dutton, NP-C
• Ethan Dutton
• Trella C. Dutton, D.D.S.
• Michael David Dye, A.T.C.
• Dynamic Performance Therapy and Rehabilitation, Inc (Dynamic Performance Physical Therapy)
• Early Interactions, LLC
• Hannah Earnst
• Margaret Tiffanie Easley
• Hazel Marketta Eason, PHARMD
• Kristina Easterling

• Primary Care Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.