Active NPI
Warren Clifton McCormick, PA-C
- Physician Assistant
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C04892
- 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
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 |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C04892 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adfinitas Health at Encompass Rehab LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Lux Medica LLC | Current | Accepting new patients | |
| Mdics Rehabilitative Services - Ltcaco LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Mdics at Civista LLC | Current | 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.
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DC
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- NPI 1881635183
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- Internal Medicine Physician
- La Plata, MD
- NPI 1033005475
DC
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
DC
-
- Urology Physician
- Lutherville, MD
- NPI 1942192810
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1427343664
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dba GPS Physician Group PC
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- Gardendale, AL
- NPI 1881109452
DC, MD
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Hospitalist Physician
- La Plata, MD
- NPI 1225323496
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.