Active NPI
Stephen Anthony McClary, PA-C
- Medical Physician Assistant
- Great Falls, MT
National Provider Identifier
1831163047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50
- Practice address
- 3511 1St Ave N
Great Falls, MT 59401-3527 - Phone
- (406) 727-5778
- Fax
- (406) 761-7117
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50 | MT | Primary |
Addresses
Primary practice location
3511 1St Ave N
Great Falls, MT 59401-3527
Mailing address
3511 1St Ave N
Great Falls, MT 59401-3527
Phone (406) 727-5778
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1831163047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 1ST AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013527",
"telephone_number": "406-727-5778",
"fax_number": "406-761-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 1ST AVE N",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013527",
"telephone_number": "406-727-5778",
"fax_number": "406-761-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLARY",
"first_name": "STEPHEN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MT",
"license": "50",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.