NPIMap

Organization Active NPI

McLean Orthopaedics PA

  • Orthopaedic Surgery Physician
  • Nacogdoches, TX
National Provider Identifier
1902019649
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E2718 Issued in TX
Legal business name
MCLEAN ORTHOPAEDICS PA
Practice address
1300 N Mound St
Nacogdoches, TX 75961-4029
Phone
(936) 560-2990
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Dr. Michael Roy McLean, MD
Title
Owner
Phone
(936) 560-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X E2718 TX Primary

Addresses

Primary practice location

1300 N Mound St
Nacogdoches, TX 75961-4029

Mailing address

PO Box 632749
Nacogdoches, TX 75963-2749
Phone (936) 560-2990

Other identifiers 1

IdentifierTypeStateIssuer
81K363OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9685/brand/2/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1902019649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632749",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632749",
            "telephone_number": "936-560-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MOUND ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614029",
            "telephone_number": "936-560-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-560-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E2718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81K363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.