Individual provider Active NPI

Warren Clifton McCormick, PA-C

  • Physician Assistant
  • Glen Burnie, MD
National Provider Identifier
1609127547
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04892 Issued in MD
Practice address
6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone
(507) 382-0665
NPI assigned
Oct 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C04892 MD Primary

Addresses

Primary practice location

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593

Mailing address

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone (507) 382-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121218000171 MD Practitioner - Physician Assistant 7618129743 Reassigns benefits to 7 organizations
I20130104000407 DC Practitioner - Physician Assistant 7618129743 Reassigns benefits to 7 organizations
I20181112002635 VA Practitioner - Physician Assistant 7618129743

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Encompass Rehab LLCGroup PAC ID 6103283379, 8 clinicians
Alignmed Medical Group PCGroup PAC ID 3476090440, 62 clinicians

Practice addresses (Care Compare)

17351 Melford Blvd
Bowie, MD 20715-4457
Phone (240) 548-1300

35 Milkshake LN
Annapolis, MD 21403-1507
Phone (410) 269-5100

9200 Franklin Square Dr
Baltimore, MD 21237-4458
Phone (410) 391-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04892MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adfinitas Health at Encompass Rehab LLC CurrentSince Jan 1, 2026 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 6, 2013 Accepting new patients
Lux Medica LLC Current Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Jun 1, 2015 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Feb 6, 2013 Accepting new patients
Mdics at Civista LLC CurrentSince Nov 19, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

17351 Melford Blvd
Bowie, MD 20715
Phone (240) 548-1300

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1447 York Rd
Ste 406
Lutherville Timonium, MD 21093
Phone (410) 343-3001

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1609127547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "507-382-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "507-382-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "WARREN",
        "middle_name": "CLIFTON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.