Individual provider Active NPI

Laurence Ronald McClish, MD

  • Orthopaedic Surgery Physician
  • Reno, NV
National Provider Identifier
1831254838
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2906 Issued in NV
Practice address
605 Sierra Rose Dr
Suite 4
Reno, NV 89511-2359
Phone
(775) 348-8100
Fax
(775) 348-8101
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2906 NV Primary

Addresses

Primary practice location

605 Sierra Rose Dr
Suite 4
Reno, NV 89511-2359

Mailing address

605 Sierra Rose Dr
Suite 4
Reno, NV 89511-2359
Phone (775) 348-8100

Other identifiers 1

IdentifierTypeStateIssuer
002016322MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001161 NV Practitioner - Orthopedic Surgery 6305035676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2906NVMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Bee Ririe Hospital CurrentSince Apr 3, 2017 Accepting new patients
William Bee Ririe Retail Pharmacy CurrentSince Apr 3, 2017 Accepting new patients
Sierra Orthopedics Orthopaedic Surgery Past Accepting new patients

Locations

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1831254838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR",
            "address_2": "SUITE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112359",
            "telephone_number": "775-348-8100",
            "fax_number": "775-348-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR",
            "address_2": "SUITE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112359",
            "telephone_number": "775-348-8100",
            "fax_number": "775-348-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLISH",
        "first_name": "LAURENCE",
        "middle_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016322",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.