Active NPI
Paul M McCormick, DO
- Emergency Medicine Physician
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 39151
- Practice address
- 1575 Beam Ave
Maplewood, MN 55109-1126 - Phone
- (651) 232-7348
- Fax
- (651) 232-6665
- NPI assigned
- May 4, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 39151 | MN | Primary |
Addresses
Primary practice location
1575 Beam Ave
Maplewood, MN 55109-1126
Mailing address
2126 Lincoln Ave
Saint Paul, MN 55105-1045
Phone (651) 698-7854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Emergency Medicine | Current | Accepting new patients |
| Lake View Memorial Hospital, Inc. | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc | Current | Accepting new patients | |
| Emergency Care Consultants, PA | Emergency Medicine | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients | |
| Sibley Medical Center | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1175 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4100
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2250 NW 26th St
Owatonna, MN 55060
Phone (507) 451-3850
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- pmccormick599520@fairview.direct-ci.com
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1669422788
-
dba Aspirus Lake View Hospital
- Critical Access Hospital
- Two Harbors, MN
- NPI 1023067642
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba M Health Fairview Northland Medical Center
- Hospitalist Physician
- Princeton, MN
- NPI 1013097377
Emergency Medicine
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Aspirus Lake View Anesthesiology Providers
- Certified Registered Nurse Anesthetist
- Two Harbors, MN
- NPI 1992512701
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
-
dba Ridgeview Sibley Medical Center - Swing
- Medicare Defined Swing Bed Hospital Unit
- Arlington, MN
- NPI 1003876491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275581340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 LINCOLN AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551051045",
"telephone_number": "651-698-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BEAM AVE",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091126",
"telephone_number": "651-232-7348",
"fax_number": "651-232-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "PAUL",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "39151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.