McClure Medical Practice, PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

04-31220 Issued in KS

Legal business name

MCCLURE MEDICAL PRACTICE, PA

Practice address

901 Main St
Suite 101
Winfield, KS 67156-3604

Phone

(620) 218-1623

Fax

(620) 402-5044

NPI assigned

Mar 18, 2014

Last updated

Oct 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelley Ann McClure, MD

Title

Owner

Phone

(620) 218-1623

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1902223787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MAIN ST",
            "address_2": "SUITE 101",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563604",
            "telephone_number": "620-218-1623",
            "fax_number": "620-402-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MAIN ST",
            "address_2": "SUITE 101",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563604",
            "telephone_number": "620-218-1623",
            "fax_number": "620-402-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLURE MEDICAL PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-218-1623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KS",
            "license": "04-31220",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "KS",
            "license": "04-31220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Douglas Marcotte, D.D.S.
• Michele Dionne Martin, LMSW
• Ty J Masterson, LAT, ATC
• Jennifer N Matamoros, LMSW
• Daisy Ann Soriano Matias, MD
• Claren Lorelle' McCormick
• Karla McDermott, LMSW
• Wendy R McGregor, LMSW
• Heather McLaughlin
• Med-Trans Corporation

• Gynecology Physician in Winfield, KS
• Providers in Winfield, KS by specialty
• Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.