Active NPI
Harvey W. McClung, M.D.
- Pulmonary Disease Physician
- Pueblo, CO
National Provider Identifier
1710971122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25242
- Practice address
- 1925 E Orman Ave
Suite 254
Pueblo, CO 81004-3537 - Phone
- (719) 564-1542
- Fax
- (719) 566-0916
- NPI assigned
- Aug 31, 2005
- Last updated
- Oct 12, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25242 | CO | |
| Pulmonary Disease Physician | 207RP1001X | 25242 | CO | Primary |
Addresses
Primary practice location
1925 E Orman Ave
Suite 254
Pueblo, CO 81004-3537
Mailing address
1 Vinca CT
Pueblo, CO 81008-1923
Phone (719) 542-5319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01252428 | Medicaid | CO |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Pulmonary Associates | Pulmonary Disease | Past | Accepting new patients |
| Hospitalists of Pueblo | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Pueblo, CO
- NPI 1922016393
-
- Pulmonary Disease Physician
- Pueblo, CO
- NPI 1760688444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1710971122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VINCA CT",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081923",
"telephone_number": "719-542-5319",
"fax_number": "719-566-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE",
"address_2": "SUITE 254",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043537",
"telephone_number": "719-564-1542",
"fax_number": "719-566-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "HARVEY",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CO",
"license": "25242",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CO",
"license": "25242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01252428",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.