Individual provider Active NPI

John McCormac, M.D.

  • Diagnostic Radiology Physician
  • Independence, OH
National Provider Identifier
1235131996
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35084093 Issued in OH
Practice address
6100 W Creek Rd Ste 35
Independence, OH 44131-2133
Phone
(216) 986-4665
NPI assigned
Aug 12, 2005
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35084093 OH Primary

Addresses

Primary practice location

6100 W Creek Rd Ste 35
Independence, OH 44131-2133

Mailing address

6100 W Creek Rd Ste 35
Independence, OH 44131-2133
Phone (216) 986-4665

Other identifiers 1

IdentifierTypeStateIssuer
2506541MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040706000825 OH Practitioner - Diagnostic Radiology 6406833672 Reassigns benefits to 5 organizations
I20230605002314 GA Practitioner - Diagnostic Radiology 6406833672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Allegiance Imaging and Radiology LLCGroup PAC ID 3577838689, 12 clinicians

Practice addresses (Care Compare)

1125 Aspira CT
Mansfield, OH 44906-4125
Phone (419) 756-2122

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-1222

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

25900 Science Park Dr
Suite Ac238
Beachwood, OH 44122-7318
Phone (216) 448-3084

2801 N Decatur Rd
Suite 100
Decatur, GA 30033-5924
Phone (404) 937-3046

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Medical Imaging Gillette CurrentSince Dec 28, 2021 Accepting new patients
Wooster Clinic, LLC CurrentSince Oct 30, 2018 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Viva Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Dec 15, 2014 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Cleveland Clinic Nevada Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 27, 2012 Accepting new patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
University Imaging Inc Diagnostic Radiology Past Accepting new patients
University Radiologists of Cleveland Inc Diagnostic Radiology Past Accepting new patients
Pennington Radiology Associates LLC Diagnostic Radiology PastSince Apr 20, 2021 Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology Past Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology Past Accepting new patients
DRS Russell Berkebile and Associates Inc Diagnostic Radiology PastSince Jul 9, 2023 Accepting new patients

Locations

Dept AT 952576
Atlanta, GA 31192

2801 N Decatur Rd
Ste 100
Decatur, GA 30033
Phone (404) 902-2858

900 Thornton Rd
Ste A
Lithia Springs, GA 30122
Phone (770) 648-7974

601 Hamburg Tpke
Ste 201
Wayne, NJ 07470
Phone (973) 238-0700

888 W Bonneville Ave
Las Vegas, NV 89106
Phone (702) 263-9797

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

25900 Science Park Dr
Ste AC238
Beachwood, OH 44122
Phone (216) 448-3084

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

921 Jasonway Ave
Ste A
Columbus, OH 43214
Phone (614) 748-6100

6100 W Creek Rd
#35
Independence, OH 44131
Phone (216) 642-8165

6100 W Creek Rd
Ste 35
Independence, OH 44131
Phone (212) 986-1666

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: jmccormac227556@direct.ccf.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1235131996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W CREEK RD STE 35",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312133",
            "telephone_number": "216-986-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 W CREEK RD STE 35",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312133",
            "telephone_number": "216-986-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMAC",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35084093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.