John L. McCormack, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C1-0002800 Issued in DE

Practice address

4755 Ogletown Stanton Rd
Department of Radiology
Newark, DE 19718-2200

Phone

(302) 733-1806

Fax

(302) 733-1808

NPI assigned

Mar 24, 2006

Last updated

Nov 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Christiana Care Health Services Inc

  dba CCHS Imaging

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1942553615
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS-Radiology

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1952335556
  NPD
• Christiana Care Health Initiatives

  dba Christiana care Imaging services

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1417993189
  NPD (past)
• X-Ray Associates P.a.

  • Specialist
  • Hockessin, DE
  • NPI 1497711675
  NPD (past)
• X-Ray Associates, LLC

  • Specialist
  • Hockessin, DE
  • NPI 1942266143
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1750341780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806",
            "fax_number": "302-733-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806",
            "fax_number": "302-733-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "JOHN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0002800",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD034535E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000111601",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "300074167",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn McClintock, MD
• Erin McCloskey
• Daniel William McConnell, DPT
• Edward J McConnell III, MD
• Jeanne T McConnell, APRN
• Emily Paige McCormick, PHARMD
• Alice Diane McCracken, M.D.
• Helen McCullough, D.O.
• Shane Bradley McCurdy, PA-C
• Katherine Elizabeth McDaniel, APRN

• Diagnostic Radiology Physician in Newark, DE
• Providers in Newark, DE by specialty
• Diagnostic Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.