Chad D McCormick, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M9014 Issued in ID

Practice address

849 N Syringa St
Post Falls, ID 83854-8794

Phone

(208) 777-1320

Fax

(208) 777-1322

NPI assigned

Jun 28, 2005

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Otolaryngology

Education

University of Utah School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Josephs Ear Nose and Throat Clinic PLLCGroup PAC ID 5597796755, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chad.mccormickmd.p20@direct.kootenai.nextgenshare.com

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.

• St Josephs Ear Nose and Throat Clinic PLLC

  • Specialist
  • Post Falls, ID
  • NPI 1952355539
  Medicare reassignment Care Compare group
• North Idaho Dermatology, Inc.

  • Dermatology Physician
  • Coeur d'Alene, ID
  • NPI 1215936638
  NPD
• Ear, Nose & Throat of Coeur D'Alene, PA

  • Specialist
  • Coeur d'Alene, ID
  • NPI 1427103753
  NPD (past)
• Kootenai Audiology, LLC

  • Assistive Technology Supplier Audiologist
  • Coeur d'Alene, ID
  • NPI 1073821542
  NPD (past)
• Kootenai Health, Inc.

  dba Kootenai Medical Center Group

  • Emergency Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1235288655

  Otolaryngology

  NPD (past)

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

• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1538165139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 N SYRINGA ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548794",
            "telephone_number": "208-777-1320",
            "fax_number": "208-777-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 N SYRINGA ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548794",
            "telephone_number": "208-777-1320",
            "fax_number": "208-777-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 N Merritt Creek Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144992",
            "country_code": "US",
            "telephone_number": "208-215-2284",
            "fax_number": "208-215-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CHAD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ID",
            "license": "M9014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0083113",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "8409260",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rianne Kainani Reiko Masuda, PHARMD
• Johanna Christine Matthews, PMHNP-BC
• Guy William McAninch, D.C.
• Douglass Barrett McArthur, DDS
• Laurie Nicole McBride, RD, LD
• Marisa Bernadette McFadden, LMT
• Joseph Jerome McGinnis, OD
• Anna Rose McGuire
• Geoffrey Jackson McKinzie, M.D.
• Jobeth McKoon, OTR/L

• Otolaryngology Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Otolaryngology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.