Deron Robert McClelland, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

420 W Russell St
Suite 107
Saline, MI 48176-1160

Phone

(734) 429-1595

Fax

(734) 429-0205

NPI assigned

Feb 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770557613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BURTON ST",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492369767",
            "telephone_number": "517-214-3174",
            "fax_number": "734-429-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W RUSSELL ST",
            "address_2": "SUITE 107",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761160",
            "telephone_number": "734-429-1595",
            "fax_number": "734-429-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "DERON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Mason, MPH, RDN, SNS
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• Phillip E May, PSY.D.
• Rita Marie McBean, PMHNP-BC
• Ketura McCroy
• Jennifer Frances McFinton, DDS
• Jacklyn M McParlane, DO
• Maria Christina Mekas, NP-C
• Melissa K Renz DDS PLC (Pear Tree Dental)

• Athletic Trainer in Saline, MI
• Providers in Saline, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.