Individual
DR. CLETUS J. MCMAHON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 VERMONT AVE, SUITE 300, OAK RIDGE, TN 37830-6478
(865) 481-2541
(865) 483-8151
Mailing address
90 VERMONT AVE, SUITE 300, OAK RIDGE, TN 37830-6474
(865) 481-2541
(865) 483-8151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD9051
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100010938
TENNCARE
TN
01
—
200029629
RAILROAD MEDICARE
TN
01
—
296033
UNITED HEALTH CARE
TN
01
—
3071421
BLUE CROSS BLUE SHIELD
TN
05
—
3168046
—
TN
01
—
4034705
AETNA
TN
Enumeration date
03/09/2006
Last updated
06/22/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us