Active NPI
Chere Elizabeth McCormick, DO
- Family Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP00001947
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8423618 | Medicaid | WA |
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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001947 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Openloop Healthcare Partners Colorado, PC | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Openloop Healthcare Partners Wisconsin, SC | Current | Accepting new patients | |
| Openloop Healthcare Partners New Jersey PC | Current | Accepting new patients | |
| Imaging Resource Centers LTD | Past | 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
- chere.mccormick.2@19957.direct.athenahealth.com
- 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.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
ME, MS, NC, ND, OR, VT, WV
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
DC, IL, MS, PA, SC, VT, WA
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- General Practice Physician
- Denver, CO
- NPI 1912678012
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
-
- General Practice Physician
- Des Moines, IA
- NPI 1275291288
-
- General Practice Physician
- Madison, WI
- NPI 1083371629
-
- Mobile Radiology Clinic/Center
- Miamisburg, OH
- NPI 1003855909
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1740788702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.