Robert McClatchey, DME PROVIDER

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0206010050 Issued in VA

Practice address

17865 Main St Ste B
Dumfries, VA 22026-2411

Phone

(703) 763-2687

Fax

(800) 584-0815

NPI assigned

Apr 4, 2018

Last updated

Apr 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1508362757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17865 MAIN ST STE B",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262411",
            "telephone_number": "540-288-6828",
            "fax_number": "800-584-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17865 MAIN ST STE B",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262411",
            "telephone_number": "703-763-2687",
            "fax_number": "800-584-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLATCHEY",
        "first_name": "ROBERT",
        "credential": "DME PROVIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0206010050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EQUIPMENT SUPPLIER PERMIT",
            "identifier": "0206010050",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaisha Martinez Pereira, PHYSICIAN ASSISTANT
• Renee Martinez
• Darnelle Mason, OTD
• Mary Katherine Mather, MD
• Kenneth Patrick May, D.C
• Judy Billig McManus, FNP-BC
• Ariel Marie Meaney, RESIDENT
• Medical Transportation-Tender Care LLC
• Medrovers LLC
• Mental Health CPR, LLC

• Oxygen Equipment & Supplies (DME) in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Oxygen Equipment & Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.