Allison Lacey McCormick, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A71954 Issued in CA

Practice address

3254 Professional Dr
Auburn, CA 95602-2412

Phone

(530) 888-1016

Fax

(530) 888-1346

NPI assigned

Oct 31, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Dermatology

Education

R Franklin University of Med & Sci/Chicago Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alpine Allergy and Asthma Associates IncGroup PAC ID 9830147057, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amccormick@allergyderm.emadirect.md

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.

• Alpine Allergy and Asthma Associates Inc

  • Dermatology Physician
  • Auburn, CA
  • NPI 1366527889
  Medicare reassignment Care Compare group NPD Authorized official
• Alpine Allergy and Asthma Associates Inc.

  • Allergy & Immunology Physician
  • Grass Valley, CA
  • NPI 1548345069
  NPD

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

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  Care Compare affiliation
• Sutter Valley Hospitals

  • Home Health Agency
  • Auburn, CA
  • NPI 1417987751

  Hospital

  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221264000000",
    "number": "1316023484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR",
            "address_2": "SUITE 235",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455082",
            "telephone_number": "530-273-6530",
            "fax_number": "530-273-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022412",
            "telephone_number": "530-888-1016",
            "fax_number": "530-888-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ALLISON",
        "middle_name": "LACEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A71954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacia M McAnally-Butler, CI50190126
• Cameron McCallister, OTR/L
• Katherine Edith McCallister, L.C.S.W.
• Cheryl L McClure, OT
• Tara McConnell, MT-BC
• Toni Elaine McCormick, LCSW
• Marguerite Octavia McCoy
• Arthur McDonald
• Laura Christina McGar, RHD
• Elvia Palafox McGuire

• Dermatology Physician in Auburn, CA
• Providers in Auburn, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.