Active NPI
Connor Shiner McCormick, MD
- Urology Physician
- Great Falls, MT
National Provider Identifier
1336766567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 160853
- Practice address
- 1401 25TH St S
Great Falls, MT 59405-5183 - Phone
- (406) 731-8051
- NPI assigned
- Jul 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2020018651 | MO | |
| Urology Physician | 208800000X | 160853 | MT | Primary |
Addresses
Primary practice location
1401 25TH St S
Great Falls, MT 59405-5183
Mailing address
PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 455-5000
Other practice location 1
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Washington School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000
Hospital & facility affiliations
- Benefis Hospitals Inc
- Northern Montana Hospital
- Great Falls Clinic Hospital
- St Peters Health
- Pondera Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160853 | MT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520
Interoperability endpoints
- cmccormick52759@benefishs.direct-ci.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Critical Access Hospital
- Conrad, MT
- NPI 1467445049
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
- General Acute Care Hospital
- Helena, MT
- NPI 1528023520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1336766567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6010",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594066010",
"telephone_number": "406-455-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 25TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-731-8051"
}
],
"practiceLocations": [
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "314-362-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "CONNOR",
"middle_name": "SHINER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2020018651",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MT",
"license": "160853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.