Active NPI
Thomas K. McClane, M.D.
- Legal Medicine
- Lakeland, FL
National Provider Identifier
1578610416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- ME11240
- Practice address
- 107 Morningside Dr Ste C
Lakeland, FL 33803-2600 - Phone
- (863) 686-4247
- Fax
- (863) 802-1818
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME11240 | FL | Primary |
Addresses
Primary practice location
107 Morningside Dr Ste C
Lakeland, FL 33803-2600
Mailing address
107 Morningside Dr Ste C
Lakeland, FL 33803-2600
Phone (863) 686-4247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME11240 | FL | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578610416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MORNINGSIDE DR STE C",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032600",
"telephone_number": "863-686-4247",
"fax_number": "863-802-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MORNINGSIDE DR STE C",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032600",
"telephone_number": "863-686-4247",
"fax_number": "863-802-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLANE",
"first_name": "THOMAS",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME11240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.