Organization Active NPI

McClintock Obstetrics & Gynecology, P.a.

  • Obstetrics & Gynecology Physician
  • Tyler, TX
National Provider Identifier
1497813455
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MCCLINTOCK OBSTETRICS & GYNECOLOGY, P.A.
Practice address
1100 E Lake St
Suite 260
Tyler, TX 75701-3343
Phone
(903) 597-9400
NPI assigned
Dec 4, 2006
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Roy Alan McClintock, M.D.
Title
President
Phone
(903) 597-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1100 E Lake St
Suite 260
Tyler, TX 75701-3343

Mailing address

1100 E Lake St
Suite 260
Tyler, TX 75701-3343
Phone (903) 597-9400

National Provider Directory

National Provider Directory

Locations

1100 E Lake St
Ste 260
Tyler, TX 75701
Phone (903) 590-5700

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1497813455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E LAKE ST",
            "address_2": "SUITE 260",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013343",
            "telephone_number": "903-597-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E LAKE ST",
            "address_2": "SUITE 260",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013343",
            "telephone_number": "903-597-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLINTOCK OBSTETRICS & GYNECOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-597-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.