Michael F McCormack, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G14411 Issued in CA

Practice address

26991 Crown Valley Pkwy
Mission Viejo, CA 92691-6528

Phone

(949) 582-2002

Fax

(949) 367-5200

NPI assigned

May 24, 2007

Last updated

Oct 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: michael.mccormack.p1@direct.lakeside.nextgenshare.com

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1144431917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 DOW AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807242",
            "telephone_number": "714-665-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26991 CROWN VALLEY PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916528",
            "telephone_number": "949-582-2002",
            "fax_number": "949-367-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G14411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G144110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly McCarter, SLPA
• Deborah Eve McCarthy, R.D.
• Michael McCawley, MSW, LCSW
• Samantha Lynn McComb, SLP
• Linda McCool, SLP
• Jacob Lane McCormick
• Kathleen M McCormick, LVN
• Delaine Cole McCoy, D.D.S.
• Maegan McCoy, DOULA(DONA)
• Brianna McCulin

• Emergency Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.