Active NPI
Ronald McCluskey, DO
- Emergency Medicine Physician
- Omak, WA
National Provider Identifier
1861420085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OP00001474
- Practice address
- 810 Jasmine St
Omak, WA 98841-9578 - Phone
- (509) 826-7664
- NPI assigned
- Jun 28, 2006
- Last updated
- Nov 19, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OP00001474 | WA | Primary |
Addresses
Primary practice location
810 Jasmine St
Omak, WA 98841-9578
Mailing address
16520 S Wolfe Rd
Cheney, WA 99004-8856
Phone (509) 299-6617
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Em-I Medical Services PC | Emergency Medicine | Past | Accepting new patients |
| Okanogan Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Omak, WA
- NPI 1366491508
-
- Emergency Medicine Physician
- Omak, WA
- NPI 1275582413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1861420085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16520 S WOLFE RD",
"city": "CHENEY",
"state": "WA",
"postal_code": "990048856",
"telephone_number": "509-299-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASMINE ST",
"city": "OMAK",
"state": "WA",
"postal_code": "988419578",
"telephone_number": "509-826-7664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUSKEY",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "OP00001474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.