Stacey Dale McClure, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

34081 Issued in AZ

Practice address

2730 W Agua Fria Fwy Ste 103
Phoenix, AZ 85027-7202

Phone

(480) 699-2472

NPI assigned

Jun 29, 2006

Last updated

Jul 9, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

University of Arizona College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stacey D McClure MD PLLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1447575287
  Medicare reassignment NPD Authorized official
• CHI Health Clinic Specialty, LLC

  • Hospitalist Physician
  • Lincoln, NE
  • NPI 1285138065

  Sports Medicine

  Medicare reassignment Care Compare group NPD
• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Medicare reassignment NPD
• Freedom Health Interventional Centers LLC

  dba True Precision Medical

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508364860
  Medicare reassignment

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

• Good Samaritan Hospital

  dba CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
  • NPI 1114942869
  Care Compare affiliation
• Good Samaritan Hospital

  dba CHI Health Good Samaritan

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1336184019
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1700814639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 W AGUA FRIA FWY STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850277202",
            "telephone_number": "480-699-2472",
            "fax_number": "480-699-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 W AGUA FRIA FWY STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850277202",
            "telephone_number": "480-699-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "STACEY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "34081",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "34081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945892",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather McClure
• Jennifer McClure, LAMFT
• Katherine McClure, DO
• Kena McClure
• Lindsay Ann Rose McClure, PA
• Sharolyn Liane McClurg, RN, CNP
• Andrea McCluskey, LMSW
• Brian Padraic McColgan, DO
• Matthew McComas II
• Jennifer McCombs, CSW

• Orthopaedic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.