Individual provider Active NPI

Caleb Mark McCormick, M.D.

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1346697430
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32329 Issued in OK
Practice address
608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Phone
(405) 272-9641
Fax
(405) 235-0738
NPI assigned
May 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32329 OK Primary

Addresses

Primary practice location

608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069

Mailing address

608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Phone (405) 272-9641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20210723002148 OK Practitioner - Anesthesiology 1052738002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Scheduling Services, P.C.Group PAC ID 9830084375, 55 clinicians

Practice addresses (Care Compare)

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-8000

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Norman Regional Hospital, Norman, OK, CCN 370008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32329OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Scheduling Services PC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients

Locations

3840 S Boulevard
Edmond, OK 73013
Phone (405) 232-8696

201 S Sara Rd
Mustang, OK 73064
Phone (405) 376-4505

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1110 N Lee Ave
Oklahoma City, OK 73103
Phone (405) 232-0341

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

608 NW 9th St
Ste 6210
Oklahoma City, OK 73102
Phone (405) 272-9641

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

Interoperability endpoints

  • Direct secure messaging: cmccormick399276@direct-ehr-ssmhc.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1346697430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021069",
            "telephone_number": "405-272-9641",
            "fax_number": "405-235-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 6210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021069",
            "telephone_number": "405-272-9641",
            "fax_number": "405-235-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CALEB",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "32329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.