Individual provider Active NPI

John Christopher McClish, MD

  • Cardiovascular Disease Physician
  • Longview, TX
National Provider Identifier
1427019249
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L9347 Issued in TX
Practice address
703 E Marshall Ave Ste 5008
Longview, TX 75601-5557
Phone
(903) 315-4880
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L9347 TX Primary

Addresses

Primary practice location

703 E Marshall Ave Ste 5008
Longview, TX 75601-5557

Mailing address

1201 N 18TH St
Abilene, TX 79601-2932
Phone (325) 793-3100

Other practice location 1

1201 N 18th St
Abilene, TX 79601-2932
Phone (325) 793-3100

Other practice location 2

707 Hollybrook Dr
Longview, TX 75605-2410
Phone (903) 315-4880

Other identifiers 3

IdentifierTypeStateIssuer
166250103MedicaidTX
8W2103OtherTXBCBS
1N5299OtherTXMEDICARE RAILROAD

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
I20040805000969 TX Practitioner - Cardiovascular Disease (Cardiology) 5991776593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283

2101 W Loop
Longview, TX 75604-2506

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488

703 E Marshall Ave
Longview, TX 75601-5500

707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 595-2283

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting88
Leg revascularization (restoring blood flow)26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince May 1, 2015 Accepting new patients
Hendrick Medical Center Current Accepting new patients
Christus Trinity Clinic Texas Cardiovascular Disease CurrentSince May 17, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 17, 2021 Accepting new patients
Hendrick Provider Network CurrentSince May 1, 2015 Accepting new patients
Texas Cardiovascular Consultants, P.a. Cardiovascular Disease Past Accepting new patients
Texas Cardiovascular Consultants, PA Cardiovascular Disease Past Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1201 N 18th St
Abilene, TX 79601
Phone (325) 793-3300

707 Hollybrook Dr
Longview, TX 75605
Phone (903) 232-8501

703 E Marshall Ave
Ste 5008
Longview, TX 75601
Phone (903) 315-4800

707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: jmcclish251012@christushealth.direct-ci.net
  • Direct secure messaging: chrismcclish@hmc.allscriptsdirect.net

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1427019249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N 18TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012932",
            "telephone_number": "325-793-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE STE 5008",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015557",
            "telephone_number": "903-315-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012932",
            "country_code": "US",
            "telephone_number": "325-793-3100",
            "fax_number": "325-793-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Hollybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052410",
            "country_code": "US",
            "telephone_number": "903-315-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLISH",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L9347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166250103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W2103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1N5299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.