Active NPI
Paul L McLain, MD
- Family Medicine Physician
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11873
- Practice address
- 380 Chase St
Walla Walla, WA 99362 - Phone
- (509) 522-5895
- Fax
- (509) 522-5899
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11873 | WA | Primary |
Addresses
Primary practice location
380 Chase St
Walla Walla, WA 99362
Mailing address
PO Box 2292
Walla Walla, WA 99342
Phone (509) 522-5815
Other practice location 1
1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone (509) 897-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8213506 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pmclain186084@wm.providencedirect.org | Direct | |
| Direct Messaging Address | pmclain186084@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Perelman School of Med at the University of Pennsylvania, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
380 Chase Ave
Walla Walla, WA 99362-2924
Phone (509) 897-3333
Hospital & facility affiliations
- Providence St Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11873 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Washington | Family Medicine | Current | Accepting new patients |
Locations
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333
1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480
Interoperability endpoints
- pmclain186084@wm.providencedirect.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1497861884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2292",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99342",
"telephone_number": "509-522-5815",
"fax_number": "509-522-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CHASE ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-522-5895",
"fax_number": "509-522-5899"
}
],
"practiceLocations": [
{
"address_1": "1025 S 2nd Ave",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993624116",
"country_code": "US",
"telephone_number": "509-897-3000",
"fax_number": "509-897-5899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAIN",
"first_name": "PAUL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "11873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8213506",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmclain186084@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "380 Chase St",
"city": "Walla Walla",
"state": "WA",
"country_code": "US",
"postal_code": "99362",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pmclain186084@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1025 S 2nd Ave",
"city": "Walla Walla",
"state": "WA",
"country_code": "US",
"postal_code": "993624116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.