Edward Larry McCleary, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

27292 Issued in CO

Practice address

481 Alpine View Dr
Incline Village, NV 89451-8916

Phone

(720) 840-6528

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1396989745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 ALPINE VIEW DR",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518916",
            "telephone_number": "720-840-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 ALPINE VIEW DR",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518916",
            "telephone_number": "720-840-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "EDWARD",
        "middle_name": "LARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "27292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystie Q Lowden, DC
• John W. Luther III, PHARM.D.
• Malley Chiropractic PLLC
• Jonathan Malley, DC
• Christel Marshall, PA-C
• Emily McGinty, PMHNP-BC
• Molly E Meyer, MA, CCC-SLP
• Michael B Macquarrie MD Inc (North Tahoe Emergency Physicians)
• Michael M Salas MD Inc (Tahoe Spine and Pain Care)
• MLP Inc (Incline Physical Therapy)

• Neurological Surgery Physician in Incline Village, NV
• Providers in Incline Village, NV by specialty
• Neurological Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.