Individual provider Active NPI

James J. McCormick III, MD

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1417005471
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME 123299 Issued in FL
Practice address
8350 NW 52ND Terrace
Suite #301, Att: Jessica Bermudez
Miami, FL 33166
Phone
(818) 324-9962
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME 123299 FL Primary
Emergency Medicine Physician 207P00000X G080225 CA

Addresses

Primary practice location

8350 NW 52ND Terrace
Suite #301, Att: Jessica Bermudez
Miami, FL 33166

Mailing address

8350 NW 52ND Terrace
Suite #301, Att: Jessica Bermudez
Miami, FL 33166
Phone (818) 324-9962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G080225CAMDEmergency Medicine Physician
ME 123299FLMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1417005471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 NW 52ND TERRACE",
            "address_2": "SUITE #301, ATT: JESSICA BERMUDEZ",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "818-324-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 NW 52ND TERRACE",
            "address_2": "SUITE #301, ATT: JESSICA BERMUDEZ",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "818-324-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK III",
        "first_name": "JAMES",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 123299",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G080225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.