Provider Demographics
NPI:1639355258
Name:MCALEER, AMANDA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MICHELLE
Last Name:MCALEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MORRIS RD STE C
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1170
Mailing Address - Country:US
Mailing Address - Phone:419-342-2900
Mailing Address - Fax:419-342-2902
Practice Address - Street 1:199 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1490
Practice Address - Country:US
Practice Address - Phone:419-342-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAR2812750-RM-74207V00000X
OH35.123844207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC333785Medicaid
OH0104600Medicaid
OH0104600Medicaid
OHH326980Medicare PIN