Active NPI
Michael Roy McLean, MD
- Orthopaedic Surgery Physician
- Nacogdoches, TX
National Provider Identifier
1811911662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E2718
- Practice address
- 1300 N Mound St
Nacogdoches, TX 75961-4029 - Phone
- (936) 560-2990
- Fax
- (936) 560-5734
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E2718 | TX | Primary |
Addresses
Primary practice location
1300 N Mound St
Nacogdoches, TX 75961-4029
Mailing address
PO Box 632749
Nacogdoches, TX 75963-2749
Phone (936) 560-2990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81K363 | Other | TX | BLUE CROSS BLUE SHIELD |
| 0825200-01 | Medicaid | TX |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2718 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Overturf MD PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- michael.mclean.2@9685.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Nacogdoches, TX
- NPI 1902019649
-
- Orthopaedic Surgery Physician
- Nacogdoches, TX
- NPI 1407294168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1811911662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632749",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759632749",
"telephone_number": "936-560-2990",
"fax_number": "936-560-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N MOUND ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614029",
"telephone_number": "936-560-2990",
"fax_number": "936-560-5734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "MICHAEL",
"middle_name": "ROY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E2718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81K363",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0825200-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.