Scott B McCormick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005874 Issued in MI

Practice address

18 Market St
Mount Clemens, MI 48043-7403

Phone

(586) 783-2222

NPI assigned

Sep 21, 2010

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smccormick14376@direct.hfhs.org
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
• Direct secure messaging: scottmccormick@mchc.allscriptsdirect.net

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.

• Henry Ford Urgent Care

  dba Henry Ford GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Detroit, MI
  • NPI 1184389876
  Medicare reassignment Care Compare group
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Clemens, MI
  • NPI 1265749683
  Medicare reassignment NPD
• Seton Health Corporation of Southeastern Michigan

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1598177065
  Medicare reassignment
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1770284564
  NPD
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1811391212
  NPD
• Seton Health Corporation of Southeastern Michigan

  dba Seton Medical Group Inc

  • Physical Therapy Clinic/Center
  • Macomb, MI
  • NPI 1487067260
  NPD

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1114235413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151167",
            "telephone_number": "586-619-9986",
            "fax_number": "586-806-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARKET ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437403",
            "telephone_number": "586-783-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Gratiot Blvd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "MI",
            "postal_code": "480402121",
            "country_code": "US",
            "telephone_number": "810-364-4000",
            "fax_number": "810-364-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SCOTT",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Maul
• Brittany Nicole Maxwell
• Hugh James Maxwell Jr.
• MBT Epilepsy Associates PLLC
• Lindsey April McClain, CRNA
• Debra L McCovery, MSW
• Ella McCoy, LLBSW
• Denishia McCray
• Tanisha Lalashann McCray
• Andrew McCuen, DO

• Physician Assistant in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.

Verify at the official NPI Registry.