Individual provider Active NPI

Chere Elizabeth McCormick, DO

  • Family Medicine Physician
  • Everett, WA
National Provider Identifier
1346341724
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001947 Issued in WA
Practice address
12800 Bothell Everett Hwy
Suite 160
Everett, WA 98208-6642
Phone
(425) 316-5170
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001947 WA Primary

Addresses

Primary practice location

12800 Bothell Everett Hwy
Suite 160
Everett, WA 98208-6642

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983

Other identifiers 1

IdentifierTypeStateIssuer
8423618MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ME, AR, CT, OH, FL, IL, PA, DE, AL, OK, MN, NC, SC, VT, DC, GA, TN, AK, WV, ND, NH, MA, RI, NY, VA, MS28 enrollments
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 28

Enrollment IDStateProvider typePAC IDDetails
I20050621000850 WA Practitioner - Family Practice 0345285383 Reassigns benefits to 2 organizations
I20230508002744 OR Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230510000748 ME Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230510001252 AR Practitioner - Family Practice 0345285383
I20230510003143 CT Practitioner - Family Practice 0345285383
I20230511001739 OH Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230511003257 FL Practitioner - Family Practice 0345285383
I20230512001479 IL Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230516000286 PA Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230516001070 DE Practitioner - Family Practice 0345285383
I20230516001390 AL Practitioner - Family Practice 0345285383
I20230516002807 OK Practitioner - Family Practice 0345285383
I20230517001660 MN Practitioner - Family Practice 0345285383
I20230517003254 NC Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230517003391 SC Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230518001534 VT Practitioner - Family Practice 0345285383 Reassigns benefits to 2 organizations
I20230530000406 DC Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230612001169 GA Practitioner - Family Practice 0345285383
I20230622001967 TN Practitioner - Family Practice 0345285383
I20230705002447 AK Practitioner - Family Practice 0345285383
I20230711001463 WV Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230804003031 ND Practitioner - Family Practice 0345285383 Reassigns benefits to 1 organization
I20230804003489 NH Practitioner - Family Practice 0345285383
I20230807001582 MA Practitioner - Family Practice 0345285383
I20230807002664 RI Practitioner - Family Practice 0345285383
I20230807003002 NY Practitioner - Family Practice 0345285383
I20230814003374 VA Practitioner - Family Practice 0345285383
I20230815000932 MS Practitioner - Family Practice 0345285383 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OP00001947WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners California PC CurrentSince Jul 4, 2023 Accepting new patients
Openloop Healthcare Partners Colorado, PC CurrentSince Apr 4, 2023 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jul 4, 2023 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Apr 4, 2023 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC CurrentSince Apr 4, 2023 Accepting new patients
Openloop Healthcare Partners New Jersey PC CurrentSince Apr 4, 2023 Accepting new patients
Imaging Resource Centers LTD PastSince Apr 4, 2023 Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Family Medicine Past Accepting new patients

Locations (25 of 27)

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

121 Washington Ave N
Minneapolis, MN 55401
Phone (612) 424-0434

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

3523 45th St S
Fargo, ND 58104
Phone (701) 203-5247

820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229

101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • Direct secure messaging: chere.mccormick.2@19957.direct.athenahealth.com
  • Direct secure messaging: cmccormick121966@wm.providencedirect.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1346341724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-366-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 BOTHELL EVERETT HWY",
            "address_2": "SUITE 160",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086642",
            "telephone_number": "425-316-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CHERE",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8423618",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.