Sylvia Ann McCormick, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

449 Issued in AK

Practice address

1211 Cushman St
Fairbanks, AK 99701-4680

Phone

(907) 328-0989

Fax

(855) 259-0324

NPI assigned

Jul 29, 2006

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sylvia.mccormick.1@31576.direct.athenahealth.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.

• Glacier General Medicine, LLC

  • General Practice Physician
  • Fairbanks, AK
  • NPI 1740571645

  Medical

  NPD
• Steese Immediate Care

  • Urgent Care Clinic/Center
  • Fairbanks, AK
  • NPI 1285922104
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1720092067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-467-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014680",
            "telephone_number": "907-328-0989",
            "fax_number": "855-259-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "SYLVIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan McConnaughhay, SLP
• Kendra McConnell
• Caroline Rose McCormick
• Crystal Devon McCormick, LCSW
• Geoffry McCormick
• Jensyn McCray
• Cameron Ray McCullough
• Jalon Alexander McCullough
• Laura McDaniels
• Brier McDermott

• Medical Physician Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.