NPIMap

Individual provider Active NPI

John Robert McClanahan, D.O.

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1275866212
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3881 Issued in TX
Practice address
7300 Bosque Blvd
Waco, TX 76710-4023
Phone
(254) 202-2600
Fax
(254) 202-2600
NPI assigned
Sep 9, 2009
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N3881 TX Primary

Addresses

Primary practice location

7300 Bosque Blvd
Waco, TX 76710-4023

Mailing address

PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcclanahan295133@direct.sw.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000873 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3072657790 Reassigns benefits to 3 organizations
Practice locations: Floydada, TX; Hale Center, TX; Plainview, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcrest Family Health CenterGroup PAC ID 4183612278, 62 clinicians

Practice addresses (Care Compare)

2201 Macarthur Dr
Waco, TX 76708-3161
Phone (254) 202-4360

7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700

7702 Central Park Dr
Waco, TX 76712-6535
Phone (254) 202-7700

851 N Loop
340 B S and W H Clinic Bellmead
Waco, TX 76705-2592
Phone (254) 202-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions29
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3881TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jun 12, 2011 Accepting new patients
Ess of South Texas LLC CurrentSince Oct 21, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 12, 2011 Accepting new patients
Hillcrest Family Health Center Family Medicine CurrentSince Oct 9, 2017 Accepting new patients
Hillcrest Family Health NP Services PLLC Past Accepting new patients

Locations

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

7300 Bosque Blvd
Waco, TX 76710
Phone (254) 202-2600

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

Interoperability endpoints

  • Direct secure messaging: jmcclanahan295133@direct.sw.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1275866212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-4655",
            "fax_number": "254-202-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BOSQUE BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104023",
            "telephone_number": "254-202-2600",
            "fax_number": "254-202-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcclanahan295133@direct.sw.org",
            "affiliation": "N",
            "address_1": "7300 Bosque Blvd",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767104023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.