Individual provider Active NPI

Julie L. McClave, M.D.

  • Pediatrics Physician
  • Mayfield Heights, OH
National Provider Identifier
1437384922
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-098929 Issued in OH
Practice address
5800 Landerbrook Dr Ste 250
Mayfield Heights, OH 44124-4047
Phone
(440) 544-1940
Fax
(440) 544-1944
NPI assigned
May 27, 2009
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 35-098929 OH Primary

Addresses

Primary practice location

5800 Landerbrook Dr Ste 250
Mayfield Heights, OH 44124-4047

Mailing address

5800 Landerbrook Dr Ste 250
Mayfield Heights, OH 44124-4047
Phone (440) 544-1940

Other identifiers 1

IdentifierTypeStateIssuer
0064680MedicaidOH

Other names 1

  • Mrs. Julie Lynne McClave Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20120518000145 OH Practitioner - Pediatric Medicine 4385807908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-098929OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc. CurrentSince Aug 15, 2013 Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 15, 2013 Accepting new patients
Lake Hospital System Inc Pediatrics Current Accepting new patients
Children's Hospital Medical Center of Akron PastSince Feb 11, 2024 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics Past Accepting new patients

Locations

9485 Mentor Ave
Ste 101
Mentor, OH 44060
Phone (440) 205-5800

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36001 Euclid Ave
Ste 300
Willoughby, OH 44094
Phone (440) 953-1898

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1437384922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 LANDERBROOK DR STE 250",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244047",
            "telephone_number": "440-544-1940",
            "fax_number": "440-544-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 LANDERBROOK DR STE 250",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244047",
            "telephone_number": "440-544-1940",
            "fax_number": "440-544-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAVE",
        "first_name": "JULIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-02-07",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-098929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MCCLAVE",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayfield Heights, OH

Sources for this page

Verify at the official NPI Registry.