Jeffrey Reed McCormick, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1601 Issued in WV

Practice address

1606 Kanawha Blvd W
Charleston, WV 25387-2536

Phone

(304) 768-8523

Fax

(304) 941-1918

NPI assigned

Mar 17, 2006

Last updated

Oct 23, 2015By the provider in NPPES

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

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Kanawha Hospice Care, Inc

  dba HospiceCare

  • Community Based Hospice Care Agency
  • Charleston, WV
  • NPI 1174556641

  Family Medicine

  Medicare reassignment NPD
• Kanawha Hospice Care, Inc.

  dba Home Health of West Virginia

  • Home Health Agency
  • Charleston, WV
  • NPI 1679221956
  NPD
• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1336118587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872536",
            "telephone_number": "304-768-8523",
            "fax_number": "304-941-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872536",
            "telephone_number": "304-768-8523",
            "fax_number": "304-941-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JEFFREY",
        "middle_name": "REED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048360000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brad Edward McCormick, DPT
• Carl McCormick
• Colby McCormick
• Dixie McCormick
• Erica McCormick
• Joey McCormick
• Karen Maxine McCormick
• Kimberly McCormick
• Samantha McCormick
• Steven L McCormick, MD

• Family Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.

Verify at the official NPI Registry.