Active NPI
Stephen Andrew McCormick, R.N.
- Registered Nurse
- Gallipolis, OH
National Provider Identifier
1710316195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.318425
- Practice address
- 581 Quail Creek Dr Lot 83
Gallipolis, OH 45631-8402 - Phone
- (740) 441-5610
- NPI assigned
- Nov 5, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.318425 | OH | Primary |
Addresses
Primary practice location
581 Quail Creek Dr Lot 83
Gallipolis, OH 45631-8402
Mailing address
581 Quail Creek Dr Lot 83
Gallipolis, OH 45631-8402
Phone (740) 441-5610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.318425 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1710316195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 QUAIL CREEK DR LOT 83",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318402",
"telephone_number": "740-441-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 QUAIL CREEK DR LOT 83",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318402",
"telephone_number": "740-441-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.318425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.