Active NPI
Stephen A McLennon, MD
- Family Medicine Physician
- The Dalles, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD17484
- Practice address
- 1015 Webber St Ste 100
The Dalles, OR 97058-3527 - Phone
- (541) 296-4804
- Fax
- (541) 296-3741
- NPI assigned
- Nov 22, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17484 | OR | Primary |
Addresses
Primary practice location
1015 Webber St Ste 100
The Dalles, OR 97058-3527
Mailing address
1015 Webber St Ste 100
The Dalles, OR 97058-3527
Phone (541) 296-4804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033881 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Shane St
BLDG on
Arlington, OR 97812-2070
Phone (541) 454-2888
700 Veterans Dr
The Dalles, OR 97058-9757
Phone (541) 296-4804
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.72 of 100
- Quality
- 73.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 90.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17484 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gorge NP Partners PC | Current | Accepting new patients | |
| North Gilliam County Health District | Current | Accepting new patients | |
| North Gilliam County Health District | Current | Accepting new patients | |
| Sage Adult and Geriatric Primary Care LLC | Past | Accepting new patients |
Locations
700 Veterans Dr
The Dalles, OR 97058
Phone (541) 296-7190
1015 Webber St
Ste 100
The Dalles, OR 97058
Phone (541) 296-4804
1023 W 25th St
The Dalles, OR 97058
Phone (541) 296-4804
Organizations & group practices 4
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.
-
- Nurse Practitioner
- The Dalles, OR
- NPI 1780128165
-
- Family Nurse Practitioner
- Arlington, OR
- NPI 1396853503
-
- Land Ambulance
- Arlington, OR
- NPI 1861860744
-
- Gerontology Nurse Practitioner
- The Dalles, OR
- NPI 1932642568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1760465934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 WEBBER ST STE 100",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583527",
"telephone_number": "541-296-4804",
"fax_number": "541-296-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 WEBBER ST STE 100",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970583527",
"telephone_number": "541-296-4804",
"fax_number": "541-296-3741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENNON",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD17484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033881",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.