Mark Lee McClanahan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4531 Issued in TX

Practice address

1806 Quincy St
Plainview, TX 79072-4206

Phone

(806) 288-7891

Fax

(806) 288-7920

NPI assigned

Sep 21, 2005

Last updated

May 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 20

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Methodist Hospital Plainview TexasGroup PAC ID 0749179521, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Hospital Plainview Hospital, Plainview, TX, CCN 450539

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mmcclanahan2018587@oc.providencedirect.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sudan Medical Clinic, LLC

  • Physician Assistant
  • Sudan, TX
  • NPI 1215942073

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1831220904
  Medicare reassignment Care Compare group NPD
• Sudan Medical Clinic, LLC

  • Physician Assistant
  • Sudan, TX
  • NPI 1215942073

  Family Medicine

  Medicare reassignment NPD Authorized official
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Seminole Hospital District of Gaines County Texas

  dba Memorial Hospital

  • Critical Access Hospital
  • Seminole, TX
  • NPI 1821025990
  Medicare reassignment NPD
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904
  Medicare reassignment
• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198
  NPD
• Seminole Hospital District of Gaines County Texas

  dba Seminole Community Pharmacy

  • Community/Retail Pharmacy
  • Seminole, TX
  • NPI 1427618461
  NPD
• Sudan Medical Clinic, LLC

  dba Sudan Medical Clinic - Muleshoe Location

  • Rural Health Clinic/Center
  • Muleshoe, TX
  • NPI 1225644537

  Family Medicine

  NPD

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

• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • General Acute Care Hospital
  • Plainview, TX
  • NPI 1073580726
  Care Compare affiliation
• Methodist Hospital Plainview Texas

  dba Covenant Hospital Plainview

  • Ambulatory Surgical Clinic/Center
  • Plainview, TX
  • NPI 1174630198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1750377198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 QUINCY ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790724206",
            "telephone_number": "806-288-7891",
            "fax_number": "806-288-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 QUINCY ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790724206",
            "telephone_number": "806-288-7891",
            "fax_number": "806-288-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "MARK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HOME HEALTH DME",
            "identifier": "173682902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAID",
            "identifier": "E4655",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143179310",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUHP",
            "identifier": "1LEW01644",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "3089010001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHOENIX HEALTH PLAN",
            "identifier": "762270",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US WORKER'S COMPENSATION",
            "identifier": "125516200",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00A46Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140688601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143179307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAID",
            "identifier": "23386533",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE PPO",
            "identifier": "811020",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143179308",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "615010000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080172851",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "118927100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133737005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "108548",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "173682901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "370622800",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "provider@sudanmed.com",
            "affiliation": "N",
            "address_1": "408 E US Hwy 84",
            "city": "Sudan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Plainview, TX
• Providers in Plainview, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.