Richard McClelland, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

000-20823 Issued in WA

Practice address

21601 76TH Ave W
Edmonds, WA 98026-7507

Phone

(425) 640-4100

NPI assigned

Jun 12, 2006

Last updated

Aug 13, 2012By 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

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Edmonds, WA
  • NPI 1447484274
  NPD (past)
• Edmonds Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Edmonds, WA
  • NPI 1336181676
  NPD (past)
• Northwest Hospital

  dba Emergency Services Northwest

  • Emergency Medicine Physician
  • Seattle, WA
  • NPI 1922144039
  NPD (past)
• Northwest Hospital & Medical Center

  dba Meridian Women's Health

  • Obstetrics & Gynecology Physician
  • Seattle, WA
  • NPI 1730355199
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1811939960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34936",
            "address_2": "DEPT 3028",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241936",
            "telephone_number": "888-398-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "000-20823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550006",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "MC4128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "E42460",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BC",
            "identifier": "910861251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "168561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen M. McCabe, OTR/L
• Addison Kay McCaffray, LMHCA
• Jana Lee McCall
• Wren V McCallister, M.D.
• Peggy C McCartney, RN
• Rachel R McCluskey, ARNP
• McCormick Medical Distribution, Inc.
• Claude Oliver McCoy, M.D.
• Jacqueline A McCoy, ARNP MS
• Robert H McCoy, M.D.

• Emergency Medicine Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.