MEDICARE: DR. BOELDRIDGE MCCLAIN MD

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	207L00000X	Anesthesiology Physician	4301093420	MI
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	30909	AZ
3	208VP0000X	Pain Medicine Physician	30909	AZ
4	207L00000X	Anesthesiology Physician	30909	AZ
5	207L00000X	Anesthesiology Physician	14954	HI
6	207L00000X	Anesthesiology Physician	ME102957	FL
7	207L00000X	Anesthesiology Physician	061624	GA
8	207L00000X	Anesthesiology Physician	44175	WI

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	:	1992772446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOELDRIDGE MCCLAIN MD

Provider Business Mailing Address
First Line	:	PO BOX 617
Second Line	:
City	:	SOMERTON
State	:	AZ
Zip	:	85350-0617
Country	:	US
Telephone Number	:	928-662-0406
Fax Number	:	928-662-0407

Provider Business Practice Location Address
First Line	:	151 S OAK AVE STE 6
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85336-0756
Country	:	US
Telephone Number	:	928-662-0409
Fax Number	:	928-662-0410

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	02/10/2026

Similar Medicare Providers

1003927336 — MS. MONICA MONTUFAR CNM
Practice Location Address:

151 S OAK AVE STE 3
SAN LUIS, AZ
85336-0756

Practice Phone: 928-662-0412
Practice Fax: 928-662-0411

1669512026 — MAY CHAMBERS MD
Practice Location Address:

151 S OAK AVE STE 3
SAN LUIS, AZ
85336-0756

Practice Phone: 928-662-0412
Practice Fax:

1174799043 — DR. PRAKSHEP B BHATT MD
Practice Location Address:

151 S OAK AVE STE 2
SAN LUIS, AZ
85336-0756

Practice Phone: 928-662-0414
Practice Fax: 928-722-6113

1851604524 — SANTA TERESA PHARMACY LLC
Practice Location Address:

151 S OAK AVE STE 200
SAN LUIS, AZ
85336-0756

Practice Phone: 928-328-1000
Practice Fax: 928-328-1001

1881968733 — MS. AVA ROSE M.D.
Practice Location Address:

151 S OAK AVE STE 2
SAN LUIS, AZ
85336-0756

Practice Phone: 928-662-0414
Practice Fax: 928-722-6113

1073889085 — DR. SHRUTI SHARMA MD
Practice Location Address:

151 S OAK AVE STE 6
SAN LUIS, AZ
85336-0756

Practice Phone: 928-662-0409
Practice Fax: 928-662-0410

Directions to “ DR. BOELDRIDGE MCCLAIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.