Christine Elizabeth McCorvey, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04775 Issued in TX

Practice address

11720 Katy Fwy Ste 110
Houston, TX 77079-1243

Phone

(281) 249-4325

Fax

(281) 249-4307

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Timothy Center, Inc.Group PAC ID 0042722159, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• The Timothy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1902183577
  Medicare reassignment Care Compare group
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1316007008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 KATY FWY STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791243",
            "telephone_number": "281-249-4325",
            "fax_number": "281-249-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 KATY FWY STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791243",
            "telephone_number": "281-249-4325",
            "fax_number": "281-249-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORVEY",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael McCormack, MD, PHD
• Yvonne M McCormack, CCC-SLP
• David McCormick, M.D.
• Frank Brandt McCormick Jr.
• Hannah Nicole McCorry
• Christopher James McCowan
• James Edward McCowan Jr.
• Othea McCoy Mance
• Andrea Lynn McCoy, NP
• Aubrey Lamar McCoy

• Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.

Verify at the official NPI Registry.