Active NPI
Eldon McClain, M.D.
- Anatomic Pathology Physician
- Biloxi, MS
National Provider Identifier
1891774246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 08653
- Practice address
- 150 Reynoir St
Biloxi, MS 39530-4130 - Phone
- (228) 432-1571
- NPI assigned
- Jan 13, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 08653 | MS | Primary |
Addresses
Primary practice location
150 Reynoir St
Biloxi, MS 39530-4130
Mailing address
PO Box 1936
Biloxi, MS 39533-1936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014530 | Medicaid | MS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Pathology Associates | Current | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Biloxi, MS
- NPI 1174516108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1891774246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1936",
"city": "BILOXI",
"state": "MS",
"postal_code": "395331936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 REYNOIR ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395304130",
"telephone_number": "228-432-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "ELDON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MS",
"license": "08653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014530",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.