Individual provider Active NPI

Celia W McLay, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Springfield, OR
National Provider Identifier
1619915550
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO210520 Issued in OR
Practice address
1007 Harlow Rd Ste 310
Springfield, OR 97477-7127
Phone
(541) 463-2280
Fax
(541) 242-4227
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2595 WV
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO210520 OR Primary

Addresses

Primary practice location

1007 Harlow Rd Ste 310
Springfield, OR 97477-7127

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 687-4900

Other identifiers 1

IdentifierTypeStateIssuer
3810022380MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2595WVMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: cmclay55780@westdirect.optum.com

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1619915550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-687-4900",
            "fax_number": "541-463-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARLOW RD STE 310",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777127",
            "telephone_number": "541-463-2280",
            "fax_number": "541-242-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAY",
        "first_name": "CELIA",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "2595",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO210520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022380",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.