MEDICARE: MR. MICHAEL E MCCLEERY P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1678	CO
2	363AM0700X	Medical Physician Assistant	1678	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811975915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL E MCCLEERY P.A.

Provider Business Mailing Address
First Line	:	9195 GRANT ST STE 205
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-4386
Country	:	US
Telephone Number	:	720-307-7246
Fax Number	:	720-502-5271

Provider Business Practice Location Address
First Line	:	799 E HAMPDEN AVE STE 305
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2766
Country	:	US
Telephone Number	:	720-307-7246
Fax Number	:	720-502-5271

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	05/15/2025

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Directions to “ MR. MICHAEL E MCCLEERY P.A.” Practice Location

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