Active NPI
Emma L McCormack, D.O.
- Allergy & Immunology Physician
- Bloomington, IN
National Provider Identifier
1598764268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 02001726A
- Practice address
- 485 S Landmark Ave
Bloomington, IN 47403-5005 - Phone
- (812) 334-1198
- Fax
- (812) 334-1199
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 02001726A | IN | Primary |
Addresses
Primary practice location
485 S Landmark Ave
Bloomington, IN 47403-5005
Mailing address
485 S Landmark Ave
Bloomington, IN 47403-5005
Phone (812) 334-1198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200078220 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Allergy & Immunology | Current | Accepting new patients |
Locations
1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331
485 S Landmark Ave
Bloomington, IN 47403
Phone (812) 334-1198
3003 Charlestown Xing
New Albany, IN 47150
Phone (812) 945-5653
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1598764268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035005",
"telephone_number": "812-334-1198",
"fax_number": "812-334-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035005",
"telephone_number": "812-334-1198",
"fax_number": "812-334-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "EMMA",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "02001726A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200078220",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.