Individual provider Active NPI

Joseph Milton McClintock, M.D.

  • Urology Physician
  • Abilene, TX
National Provider Identifier
1881654960
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H8245 Issued in TX
Practice address
6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262
Phone
(325) 428-5500
Fax
(325) 428-5519
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19343 OK
Urology Physician 208800000X H8245 TX Primary

Addresses

Primary practice location

6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262

Mailing address

6250 Regional PLZ
Suite 1000
Abilene, TX 79606-5262
Phone (325) 428-5520

Other identifiers 1

IdentifierTypeStateIssuer
100222120BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100316000022 OK Practitioner - Urology 9739180704 Practice locations: McAlester, OK

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediapex Heart Center for Children PA Past Accepting new patients
Ergonomic Consultants, LLC PastSince Jul 1, 2006 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1881654960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLZ",
            "address_2": "SUITE 1000",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065262",
            "telephone_number": "325-428-5520",
            "fax_number": "325-428-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLZ",
            "address_2": "SUITE 1010",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065262",
            "telephone_number": "325-428-5500",
            "fax_number": "325-428-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "JOSEPH",
        "middle_name": "MILTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "19343",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "H8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222120B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.