Active NPI
Kortni McCormick, MD
- Anesthesiology Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME167158
- Practice address
- 6200 SW 73Rd St
South Miami, FL 33143-4679 - Phone
- (305) 740-0823
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 36199 | OK | |
| Surgery Physician | 208600000X | 94-10012 | KY | |
| Anesthesiology Physician | 207L00000X | ME167158 | FL | Primary |
Addresses
Primary practice location
6200 SW 73Rd St
South Miami, FL 33143-4679
Mailing address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone (305) 740-0823
Other practice location 1
750 NE 13th St
Oklahoma City, OK 73104-5010
Phone (405) 271-4351
Other practice location 2
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3011
Other practice location 3
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2665
Other practice location 4
700 NE 13th St
Oklahoma City, OK 73104-5004
Phone (405) 271-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Memorial Rd
Mercy Health Center Inc
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME167158 | FL | MD | Anesthesiology Physician |
| 36199 | OK | MD | Anesthesiology Physician |
| 94-10012 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
Locations
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
Dept 960431
Oklahoma City, OK 73196
13321 N Meridian Ave
Ste 402
Oklahoma City, OK 73120
Phone (405) 755-1080
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1710214267
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1154981546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434679",
"telephone_number": "305-740-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434679",
"telephone_number": "305-740-0823"
}
],
"practiceLocations": [
{
"address_1": "750 NE 13th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045010",
"country_code": "US",
"telephone_number": "405-271-4351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 NW Expressway",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124418",
"country_code": "US",
"telephone_number": "405-949-3011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 N Kansas St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143124",
"country_code": "US",
"telephone_number": "316-293-2665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 NE 13th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045004",
"country_code": "US",
"telephone_number": "405-271-4351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "KORTNI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "36199",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "94-10012",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME167158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.