Individual provider Active NPI

Richard A McLean, MD

  • Specialist
  • Plantation, FL
National Provider Identifier
1871571158
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME86503 Issued in FL
Practice address
4101 NW 4TH St
Suite 404
Plantation, FL 33317-2850
Phone
(954) 792-4880
Fax
(954) 792-4881
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME86503 FL Primary

Addresses

Primary practice location

4101 NW 4TH St
Suite 404
Plantation, FL 33317-2850

Mailing address

14782 SW 176TH Ter
Miami, FL 33187-6779
Phone (954) 599-5172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070803000138 FL Practitioner - Internal Medicine 7810088911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4101 NW 4TH St
Suite 404
Plantation, FL 33317-2836
Phone (954) 792-4880

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a McLean MD PA Specialist CurrentSince Aug 22, 2007 Accepting new patients
Michael a. Morrison M.D, P.a Past Accepting new patients

Locations

4101 NW 4th St
Ste 404
Plantation, FL 33317
Phone (954) 791-4311

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1871571158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14782 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876779",
            "telephone_number": "954-599-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 404",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-792-4880",
            "fax_number": "954-792-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME86503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.