Individual provider Active NPI

Hillary Lea McClung, PA-C

  • Surgical Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1932357217
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.002782RX Issued in OH
Practice address
3333 Burnet Avenue
ML 2016
Cincinnati, OH 45229-3026
Phone
(513) 636-4726
Fax
(513) 636-2808
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002782RX OH
Surgical Physician Assistant 363AS0400X 50.002782RX OH Primary

Addresses

Primary practice location

3333 Burnet Avenue
ML 2016
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Avenue
ML 2016
Cincinnati, OH 45229-3026
Phone (513) 636-4726

Other identifiers 2

IdentifierTypeStateIssuer
0068334MedicaidOH
7100061610MedicaidKY

Other names 1

  • Hillary Lea Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000000 OH Practitioner - Physician Assistant 2860553989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002782RXOHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center Physician Assistant CurrentSince Feb 14, 2018 Accepting new patients
Englender Sper & Drasnin, M.D.'S Inc Past Accepting new patients
Anderson Hills Pediatrics Inc Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
#2016
Cincinnati, OH 45229
Phone (513) 636-4726

5899 Harrison Ave
#6011
Cincinnati, OH 45248
Phone (513) 803-8200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

796 Old State Route 74
Cincinnati, OH 45245
Phone (513) 636-6000

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

796 Cincinnati Batavia Pike
#6006
Cincinnati, OH 45245
Phone (513) 636-6000

7495 State Rd
Ste 355
Cincinnati, OH 45255
Phone (513) 636-6100

2800 Winslow Ave
Ste 10001
Cincinnati, OH 45206

4315 Ivy Pointe Blvd
Cincinnati, OH 45245
Phone (513) 636-0030

3050 Mack Rd
Fairfield, OH 45014
Phone (513) 557-7718

7777 Yankee Rd
#16062
Liberty Township, OH 45044
Phone (513) 636-3200

9560 Children Dr
Mason, OH 45040
Phone (513) 636-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22771/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1200/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1932357217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "ML 2016",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4726",
            "fax_number": "513-636-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVENUE",
            "address_2": "ML 2016",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4726",
            "fax_number": "513-636-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "HILLARY",
        "middle_name": "LEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002782RX",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.002782RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068334",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100061610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "NELSON",
            "middle_name": "LEA",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.