NPIMap

Individual provider Active NPI

Nathan McClane, MD, MA

  • Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1588125397
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
72686 Issued in AZ
Practice address
720 E Thunderbird Rd Ste 3
Phoenix, AZ 85022-5396
Phone
(480) 531-1681
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 72686 AZ Primary

Addresses

Primary practice location

720 E Thunderbird Rd Ste 3
Phoenix, AZ 85022-5396

Mailing address

16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702
Phone (909) 632-3409

Other practice location 1

9201 N 5th St
Phoenix, AZ 85020-2532
Phone (480) 882-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604001726 AZ Practitioner - General Surgery 6204165038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shirah Surgical PLLCGroup PAC ID 9234585944, 5 clinicians
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

720 E Thunderbird Rd
Suite 3
Phoenix, AZ 85022-5396
Phone (480) 531-1681

9202 N 2ND St
Phoenix, AZ 85020-2458
Phone (480) 583-0500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue250
Removal of skin lesions32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72686AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Dec 23, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Shirah Surgical PLLC Surgery CurrentSince Jun 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Dec 23, 2024 Accepting new patients
Honorhealth Ambulatory Surgery Past Accepting new patients

Locations

720 E Thunderbird Rd
Ste 3
Phoenix, AZ 85022
Phone (480) 531-1681

7600 N 15th St
Ste 150
Phoenix, AZ 85020
Phone (480) 256-8240

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1588125397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-619",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "909-632-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E THUNDERBIRD RD STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225396",
            "telephone_number": "480-531-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9201 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202532",
            "country_code": "US",
            "telephone_number": "480-882-4545",
            "fax_number": "602-870-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLANE",
        "first_name": "NATHAN",
        "credential": "MD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "72686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.