Individual provider Active NPI

James G Cormack, MD

  • Anesthesiology Physician
  • Manchester, NH
National Provider Identifier
1508862111
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
12098 Issued in NH
Practice address
88 McGregor St
Ste 303
Manchester, NH 03102-3750
Phone
(603) 647-9325
Fax
(603) 647-2453
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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 12098 NH Primary

Addresses

Primary practice location

88 McGregor St
Ste 303
Manchester, NH 03102-3750

Mailing address

88 McGregor St
Ste 303
Manchester, NH 03102-3750
Phone (603) 647-9325

Other identifiers 1

IdentifierTypeStateIssuer
30204188MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040318001130 NH Practitioner - Anesthesiology 5799675104 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Anesthesia Associates PAGroup PAC ID 6002855327, 40 clinicians

Practice addresses (Care Compare)

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 436-5110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Group PC Anesthesiology CurrentSince Sep 1, 2003 Accepting new patients
Portsmouth Anesthesia Associates PA Anesthesiology CurrentSince Oct 1, 2017 Accepting new patients
Stratham Anesthesia Associates PLLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Riverside Associates in Anesthesia PC Anesthesiology Past Accepting new patients

Locations

11 Washington Pl
Bedford, NH 03110
Phone (603) 622-3670

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

4 West Rd
Ste B1
Stratham, NH 03885
Phone (603) 772-2076

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1508862111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "STE 303",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-647-9325",
            "fax_number": "603-647-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MCGREGOR ST",
            "address_2": "STE 303",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023750",
            "telephone_number": "603-647-9325",
            "fax_number": "603-647-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMACK",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "12098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204188",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.