Michael Timothy McCormack, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

27183 Issued in TN

Practice address

1940 Alcoa Hwy
Suite E-210
Knoxville, TN 37920-2244

Phone

(865) 524-7471

Fax

(865) 305-6563

NPI assigned

Aug 1, 2006

Last updated

Sep 5, 2008By 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

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University Health System, Inc

  dba UT Internal Medicine Pellissippi

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment NPD
• University Health System Inc

  dba University Thoracic Surgeons

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD
• University Health System, Inc

  dba University Pulmonary and Critical Care

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1811250228
  NPD
• Cookeville Regional Medical Center

  dba Cookeville Regional Physicians

  • Hospitalist Physician
  • Cookeville, TN
  • NPI 1023397031
  NPD (past)
• East Tennessee Pulmonary and Critical Care Physicians

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1528098282
  NPD (past)
• Knoxville Pulmonary Group, P.a.

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1760491153
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1114934676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "SUITE E-210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-524-7471",
            "fax_number": "865-305-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "SUITE E-210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-524-7471",
            "fax_number": "865-305-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "27183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lura McConnell, BA
• Kelly Renee McConnell
• Kecia Beth McConville, R.D., L.D.N., M.P.H.
• Patrick Owen McConville, MD
• Meg L McCord, B.S.
• Donna Suzanne McCormick, NP
• Haley McCormick
• John Patrick McCormick, FNP
• Sheryl K McCormick
• Amy J McCowan

• Pulmonary Disease Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.