Active NPI
Wanda W McLure, PA-C
- Physician Assistant
- Littleton, NH
National Provider Identifier
1790884435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0342P
- Practice address
- 25 Mount Eustis Rd
Littleton, NH 03561-3712 - Phone
- (603) 444-2464
- Fax
- (603) 444-3441
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0342P | NH | Primary |
Addresses
Primary practice location
25 Mount Eustis Rd
Littleton, NH 03561-3712
Mailing address
34 Pilgrim Dr
Littleton, NH 03561-3950
Phone (603) 444-6215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30333040 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth McKinley Christian Health Care Services, Inc | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790884435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PILGRIM DR",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035613950",
"telephone_number": "603-444-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MOUNT EUSTIS RD",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035613712",
"telephone_number": "603-444-2464",
"fax_number": "603-444-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLURE",
"first_name": "WANDA",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0342P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30333040",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Littleton, NH
Sources for this page
- 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.