Active NPI
John L McLean, MD
- Anesthesiology Physician
- Lawrenceburg, TN
National Provider Identifier
1649343310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD37375
- Practice address
- 1607 South Locust Ave
Lawrenceburg, TN 38464 - Phone
- (615) 620-2320
- NPI assigned
- Nov 17, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD37375 | TN | Primary |
Addresses
Primary practice location
1607 South Locust Ave
Lawrenceburg, TN 38464
Mailing address
PO Box 440013
Nashville, TN 37244-0013
Phone (615) 620-2320
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01069632 | Other | TN | AMERIGROUP TENNCARE ONLY |
| 3384834 | Medicaid | TN | |
| 4059473 | Other | TN | BLUE CROSS/BLUE SHIELD OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37375 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
Locations
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1649343310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440013",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440013",
"telephone_number": "615-620-2320",
"fax_number": "615-620-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 SOUTH LOCUST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "38464",
"telephone_number": "615-620-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "JOHN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "MD37375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP TENNCARE ONLY",
"identifier": "01069632",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3384834",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD OF TN",
"identifier": "4059473",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.