Individual provider Active NPI

David Jonathan McLario, D.O., M.S.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Stephens City, VA
National Provider Identifier
1467548677
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
0102204658 Issued in VA
Practice address
126 Smoke House CT
Stephens City, VA 22655-2881
Phone
(540) 508-4305
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 03425 KY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 0102204658 VA Primary

Addresses

Primary practice location

126 Smoke House CT
Stephens City, VA 22655-2881

Mailing address

126 Smoke House CT
Stephens City, VA 22655-2881
Phone (540) 508-4305

Other identifiers 2

IdentifierTypeStateIssuer
201049700MedicaidIN
7100195300MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126001844 VA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5294824579 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
03425KYMDPediatric Emergency Medicine (Pediatrics) Physician
0102204658VAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. CurrentSince Dec 22, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 23, 2016 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Dec 22, 2019 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 23, 2016 Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients

Locations

315 W 10th St
Front Royal, VA 22630
Phone (540) 252-0033

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

2321 Wards Rd
Lynchburg, VA 24502
Phone (434) 582-2273

8644 Sudley Rd
#220
Manassas, VA 20110

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: evvvalley643259@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1467548677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SMOKE HOUSE CT",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552881",
            "telephone_number": "540-508-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SMOKE HOUSE CT",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552881",
            "telephone_number": "540-508-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLARIO",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "KY",
            "license": "03425",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "VA",
            "license": "0102204658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201049700",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100195300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.