William J McCormack MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0059271 Issued in FL

Legal business name

WILLIAM J MCCORMACK MD PA

Practice address

275 18TH St
Suite 103
Vero Beach, FL 32960-0824

Phone

(772) 567-6181

Fax

(772) 567-8242

NPI assigned

Dec 30, 2008

Last updated

Feb 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Kline

Title

Office Manager

Phone

(772) 567-6181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1255577953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 18TH ST",
            "address_2": "SUITE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600824",
            "telephone_number": "772-567-6181",
            "fax_number": "772-567-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 18TH ST",
            "address_2": "SUITE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600824",
            "telephone_number": "772-567-6181",
            "fax_number": "772-567-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J MCCORMACK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-567-6181"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0059271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.