Linda Jean McCormick, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3D26 Issued in MO

Practice address

100 NW Mock Ave Ste 200
Blue Springs, MO 64014-2500

Phone

(816) 228-1000

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Linda Jean Smith Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487
  Medicare reassignment NPD

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1518956507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3D26",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "14059097",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew a Turner DDS PC
• L. Russell Matthias, DC
• Kaely Marie Mayden, AGNP-C
• McCob Styles
• Heather Renee McCormick, RN
• Dee Anna McCune, RPT
• Nikita McDaniel, DDS
• Amy L McDonald, MS, CCC-SLP
• Steven Wayne McFee, M.D.
• Brenda Marie McGowin, PH.D.

• Family Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.

Verify at the official NPI Registry.