Individual provider Active NPI

John Eric McClay, MD

  • Otolaryngology Physician
  • Frisco, TX
National Provider Identifier
1053379370
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J0109 Issued in TX
Practice address
11445 Dallas Pkwy
Suite 240
Frisco, TX 75033-4255
Phone
(214) 494-4150
Fax
(972) 315-9011
NPI assigned
May 3, 2006
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X J0109 TX Primary
Pediatric Otolaryngology Physician 207YP0228X J0109 TX

Addresses

Primary practice location

11445 Dallas Pkwy
Suite 240
Frisco, TX 75033-4255

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6483

Other identifiers 1

IdentifierTypeStateIssuer
103431602MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcclay142389@CookChildrens.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000563 TX Practitioner - OtolaryngologyPractitioner - Pediatric MedicinePractitioner - Other (Physician) 7719034859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network CurrentSince Jul 6, 2020 Accepting new patients
Cook Children's Physician Network CurrentSince Jul 6, 2020 Accepting new patients

Locations

11445 Dallas Pkwy
Ste 240
Frisco, TX 75033
Phone (214) 494-4150

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: jmcclay142389@cookchildrens.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1053379370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6483",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 DALLAS PKWY",
            "address_2": "SUITE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334255",
            "telephone_number": "214-494-4150",
            "fax_number": "972-315-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAY",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J0109",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TX",
            "license": "J0109",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103431602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcclay142389@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "11445 Dallas Pkwy",
            "address_2": "suite 240",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750334255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.