Active NPI
Thomas D McClain, M.D.
- Orthopaedic Surgery Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 104885
- Practice address
- 3126 S Jackson Ave
Suite 200
Joplin, MO 64804-2534 - Phone
- (417) 625-2278
- Fax
- (417) 625-2277
- NPI assigned
- Nov 16, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 104885 | MO | Primary |
Addresses
Primary practice location
3126 S Jackson Ave
Suite 200
Joplin, MO 64804-2534
Mailing address
3126 S Jackson Ave
Suite 200
Joplin, MO 64804-2534
Phone (417) 625-2278
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104885 | Other | MO | STATE LICENSE |
| 206864522 | Medicaid | MO | |
| 200964580A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Incontinence and Osteoporosis Center LLC | Past | Accepting new patients |
Locations
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
Interoperability endpoints
- tmcclain12352@directb.mercy.net
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Gynecology Physician
- Galena, KS
- NPI 1225168206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1407838469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "SUITE 200",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-625-2278",
"fax_number": "417-625-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "SUITE 200",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-625-2278",
"fax_number": "417-625-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "THOMAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "104885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "104885",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206864522",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200964580A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.