Individual provider Active NPI

John Shum, MD

  • Obstetrics & Gynecology Physician
  • Longview, TX
National Provider Identifier
1861616047
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L4123 Issued in TX
Practice address
802 Medical Cir Ste 101
Longview, TX 75605-5169
Phone
(903) 758-2610
Fax
(903) 758-7081
NPI assigned
Apr 12, 2007
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4123 TX
Obstetrics & Gynecology Physician 207V00000X L4123 TX Primary

Addresses

Primary practice location

802 Medical Cir Ste 101
Longview, TX 75605-5169

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 1

705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone (903) 758-2610

Other practice location 2

825 Medical Dr
Tyler, TX 75701-2143
Phone (903) 758-2610

Other practice location 3

1761 W Loop 281
Longview, TX 75604-2734
Phone (903) 758-2610

Other practice location 4

1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610

Other practice location 5

425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610

Other practice location 6

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-5733

Other identifiers 3

IdentifierTypeStateIssuer
153825807MedicaidTX
8M8693OtherTXBCBS
153825806MedicaidTX

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
I20070705000586 TX Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 1153421128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longview Wellness Center IncGroup PAC ID 1254367766, 22 clinicians

Practice addresses (Care Compare)

1701 Pine Tree Rd
Longview, TX 75604-1909
Phone (903) 758-2610

1761 W Loop
Suite 281
Longview, TX 75604-2734
Phone (903) 758-2610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Longview Wellness Center Inc Family Medicine CurrentSince Aug 13, 2013 Accepting new patients
Longview Wellness Center Inc Family Medicine CurrentSince Aug 13, 2013 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Dec 30, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 30, 2024 Accepting new patients
Longview Wellness Center, Inc Family Medicine Current Accepting new patients
Christus Good Shepherd Medical Center Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Longview Wellness Center Inc Family Medicine PastSince Jan 2, 2022 Accepting new patients
Longview Medical Center LP Obstetrics & Gynecology Past Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

1761 W Loop 281
Longview, TX 75604
Phone (903) 297-1733

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 230-2608

802 Medical Cir
Ste 101
Longview, TX 75605
Phone (903) 753-7658

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

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

825 Medical Dr
Tyler, TX 75701
Phone (903) 533-0733

Interoperability endpoints

  • Direct secure messaging: johnshum@wp.medalliesdirect.net
  • Direct secure messaging: jshum239208@christushealth.direct-ci.net

Organizations & group practices 11

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 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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1861616047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL CIR STE 101",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055169",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 E Marshall Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015661",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Medical Dr",
            "address_purpose": "LOCATION",
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            "state": "TX",
            "postal_code": "757012143",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1761 W Loop 281",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042734",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015602",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Fredonia St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016464",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUM",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4123",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L4123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153825807",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M8693",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153825806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.