Active NPI
John Christopher McClish, MD
- Cardiovascular Disease Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- L9347
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166250103 | Medicaid | TX | |
| 8W2103 | Other | TX | BCBS |
| 1N5299 | Other | TX | MEDICARE 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 88 |
| Leg revascularization (restoring blood flow) | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Current | Accepting new patients | |
| Hendrick Medical Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Cardiovascular Disease | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Hendrick Provider Network | Current | 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
- jmcclish251012@christushealth.direct-ci.net
- 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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Cardiovascular Disease
-
- Internal Medicine Physician
- Abilene, TX
- NPI 1396961322
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
-
- Cardiovascular Disease Physician
- West Lake Hills, TX
- NPI 1427299825
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1932354479
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.