Active NPI
Robert James McLean, M.D.
- Family Medicine Physician
- Newport News, VA
National Provider Identifier
1992829857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101053096
- Practice address
- 732 Thimble Shoals Blvd
Suite 602
Newport News, VA 23606-4218 - Phone
- (757) 596-8073
- Fax
- (757) 596-8074
- NPI assigned
- Mar 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101053096 | VA | Primary |
Addresses
Primary practice location
732 Thimble Shoals Blvd
Suite 602
Newport News, VA 23606-4218
Mailing address
111 Lord North CT
Yorktown, VA 23693-4632
Phone (757) 867-7084
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053096 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992829857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LORD NORTH CT",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934632",
"telephone_number": "757-867-7084",
"fax_number": "757-596-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 THIMBLE SHOALS BLVD",
"address_2": "SUITE 602",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064218",
"telephone_number": "757-596-8073",
"fax_number": "757-596-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101053096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.