Andrew James Maclellan, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD38368 Issued in TN

Practice address

460 Medical Park Dr
Suite 104
Lenoir City, TN 37772-5782

Phone

(865) 986-7737

Fax

(865) 986-7807

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Orthotennessee, PC

  • Durable Medical Equipment & Medical Supplies
  • Sevierville, TN
  • NPI 1013450360

  Orthopaedic Surgery

  NPD (past)
• Orthotennessee, PC

  • Orthopaedic Surgery Physician
  • Knoxville, TN
  • NPI 1053402040
  NPD (past)
• Orthotennessee, PC

  • Orthopaedic Surgery Physician
  • Lenoir City, TN
  • NPI 1659462422
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1992774665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FORT SANDERS WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223355",
            "telephone_number": "865-769-4545",
            "fax_number": "865-769-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-986-7737",
            "fax_number": "865-986-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLELLAN",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD38368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3891250",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4083589",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "TN01J7",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00199559",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• June Yvonne Lyons, DO
• Mabry Family Dentistry
• Mabry, Akhrass & McCary, DDS, LLP
• Caleb Barker Mabry, DMD
• Carl Don Mabry, DDS
• Cheyenne Jay Mahaffey
• Seema Maheshwari-Sharma, MD
• Amy Hudson Malcolm
• Katherine Bodford Malone, D.D.S
• Zahra Manji, PHARMD

• Orthopaedic Surgery Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Orthopaedic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.