Individual provider Active NPI

Katherine McCormick, M.D

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
National Provider Identifier
1093147241
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301103902 Issued in MI
Practice address
1675 Leahy St Ste 428
Muskegon, MI 49442-5544
Phone
(231) 672-3300
Fax
(231) 672-3380
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301103902 MI Primary

Addresses

Primary practice location

1675 Leahy St Ste 428
Muskegon, MI 49442-5544

Mailing address

1675 Leahy St Ste 428
Muskegon, MI 49442-5544
Phone (231) 672-3300

Other practice location 1

212 S Sullivan Ave
Fremont, MI 49412-1548
Phone (231) 924-1212

Other practice location 2

1500 E Sherman Blvd Fl 4
Muskegon, MI 49444-1849
Phone (231) 672-6600

Other names 1

  • Katherine Schoeman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170720000836 MI Practitioner - Obstetrics/Gynecology 6901035872 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1675 Leahy St
Suite 428B
Muskegon, MI 49442-5500
Phone (231) 672-3300

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

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

State licenses

LicenseStateTypeSpecialty
4301103902MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center CurrentSince Nov 1, 2019 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Mercy Health Partners-Obstetrics and Gynecology Specialist Obstetrics & Gynecology CurrentSince Aug 15, 2022 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2020 Accepting new patients
Newaygo County General Hospital Association CurrentSince Aug 21, 2017 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2020 Accepting new patients
Mecosta County Medical Center CurrentSince Nov 1, 2019 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince Aug 15, 2022 Accepting new patients
Newaygo County General Hospital Association CurrentSince Aug 21, 2017 Accepting new patients
Mercy Women'S Health Services Obstetrics & Gynecology Past Accepting new patients
Mercy Health Partners Past Accepting new patients
Mercy Specialty Services Obstetrics & Gynecology PastSince Aug 28, 2022 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1675 Leahy St
Ste 428
Muskegon, MI 49442
Phone (231) 672-3300

1500 E Sherman Blvd
Fl 4
Muskegon, MI 49444
Phone (231) 672-6600

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1675 Leahy St
Ste 428B
Muskegon, MI 49442
Phone (231) 672-3300

2006 Holton Rd
Ste 200
North Muskegon, MI 49445
Phone (231) 672-3333

Interoperability endpoints

  • Direct secure messaging: kmccormick2009219@direct.trinity-health.org

Organizations & group practices 12

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1093147241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 428",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425544",
            "telephone_number": "231-672-3300",
            "fax_number": "231-672-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 428",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425544",
            "telephone_number": "231-672-3300",
            "fax_number": "231-672-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S Sullivan Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494121548",
            "country_code": "US",
            "telephone_number": "231-924-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Sherman Blvd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441849",
            "country_code": "US",
            "telephone_number": "231-672-6600",
            "fax_number": "231-672-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KATHERINE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301103902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SCHOEMAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.