Organization Active NPI

McCleerey Family Medicine LLC

  • Primary Care Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1447430731
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
41138 Issued in KY
Legal business name
MCCLEEREY FAMILY MEDICINE LLC
Practice address
100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975
Phone
(270) 234-1010
Fax
(270) 234-0105
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. John Andrew McCleerey, M.D.
Title
Owner
Phone
(270) 234-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 41138 KY Primary

Addresses

Primary practice location

100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975

Mailing address

100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975
Phone (270) 234-1010

National Provider Directory

National Provider Directory

Locations

100 Helmwood Plaza Dr
Elizabethtown, KY 42701
Phone (270) 765-6242

3046 Dolphin Dr
Elizabethtown, KY 42701
Phone (270) 234-1010

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1447430731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD PLAZA DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012975",
            "telephone_number": "270-234-1010",
            "fax_number": "270-234-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD PLAZA DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012975",
            "telephone_number": "270-234-1010",
            "fax_number": "270-234-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLEEREY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "MCCLEEREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-234-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "41138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.