NPIMap

Individual provider Active NPI

Garey Lee McLellan, M.D.

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1881665826
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6373 Issued in NV
Practice address
10615 Patrington CT
Las Vegas, NV 89123-4562
Phone
(702) 577-7362
Fax
(702) 897-9013
NPI assigned
Jan 28, 2006
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X F1809 TX
Diagnostic Radiology Physician 2085R0202X 6373 NV Primary
Diagnostic Radiology Physician 2085R0202X ME45603 FL
Diagnostic Radiology Physician 2085R0202X 26006 AZ
Diagnostic Radiology Physician 2085R0202X 01075082A IN
Vascular & Interventional Radiology Physician 2085R0204X 01075082A IN

Addresses

Primary practice location

10615 Patrington CT
Las Vegas, NV 89123-4562

Mailing address

10615 Patrington CT
Las Vegas, NV 89123-4562
Phone (702) 577-7362

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 Medicine

State licenses

LicenseStateTypeSpecialty
11354MTMDDentist Anesthesiologist
26006AZMDDiagnostic Radiology Physician
6373NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients
JCMH Healthcare Corporation Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology Past Accepting new patients
Radcare of Tennessee PC Diagnostic Radiology Past Accepting new patients
Yarbro LTD Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
Open Sided MRI of Las Vegas, LLC Diagnostic Radiology PastSince Oct 1, 2003 Accepting new patients
Payson Hospital Corporation Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1881665826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 PATRINGTON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234562",
            "telephone_number": "702-577-7362",
            "fax_number": "702-897-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PATRINGTON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234562",
            "telephone_number": "702-577-7362",
            "fax_number": "702-897-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAN",
        "first_name": "GAREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F1809",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "6373",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME45603",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "26006",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01075082A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01075082A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.