Thomas D. McCormack, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

256 Issued in MA

Practice address

1269 Memorial Dr.
Chicopee, MA 01020

Phone

(413) 612-0048

Fax

(413) 612-0031

NPI assigned

Sep 30, 2013

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1255768677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WHITMUN RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062652",
            "telephone_number": "413-612-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 MEMORIAL DR.",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01020",
            "telephone_number": "413-612-0048",
            "fax_number": "413-612-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "THOMAS",
        "middle_name": "D.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15988918552",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Jean Mattison, PHARM D
• Tiffany Mattson
• Matthew Joseph Maurer, PHARMD
• Sara Jean May, LICSW
• Katherine McAuliffe
• Robert McDonnell, MSPT, MDT
• Neville McGregor
• Kelly McGuinness, PA-C
• Catherine McKenna, DMD
• Amanda McKeon

• Hearing Instrument Specialist in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Hearing Instrument Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.