Julie McCormick, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4158 Issued in AK

Legal business name

JULIE MCCORMICK, M.D., LLC

Practice address

3340 Providence Dr
Suite 466
Anchorage, AK 99508-4616

Phone

(907) 263-2200

Fax

(907) 276-0366

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Julie McCormick, M.D.

Title

Manager

Phone

(907) 263-2200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1457562860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "SUITE 466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084616",
            "telephone_number": "907-263-2200",
            "fax_number": "907-276-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "SUITE 466",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084616",
            "telephone_number": "907-263-2200",
            "fax_number": "907-276-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE MCCORMICK, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "907-263-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "4158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020654",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jordan Denielle Juliussen, LCSW
• Sigvold Ingvold Juliussen Jr.
• Hye Hyang Jung, RN
• Samantha Jung, PT
• Yoo Chul Jung, DDS

• All providers in Anchorage, AK
• Internal Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.