McCormack Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

7939-OPF-1 Issued in NV

Legal business name

MCCORMACK SURGERY CENTER

Doing business as

McCormack Out-Patient Facility

Practice address

10791 Double R Blvd
Reno, NV 89521-8956

Phone

(775) 284-2020

Fax

(775) 284-2023

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

Judy Lynne Thomas

Title

Practice Administrator

Phone

(775) 284-2020

Specialties & licenses 1

Addresses

Other names 1

• McCormack Out-Patient Facility Doing business as

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1750731055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10791 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218956",
            "telephone_number": "775-284-2020",
            "fax_number": "775-284-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10791 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218956",
            "telephone_number": "775-284-2020",
            "fax_number": "775-284-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMACK SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "775-284-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "7939-OPF-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCormack Out-Patient Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James McConnell
• Justin McConnell, PHARM D
• Melissa Anne McCool, DDS
• Dean Michael McCorkle, CADC INTERN
• McCormack Plastic Surgery
• Brian J McCormack, MD
• Marie Monique McCormack, MD
• Matthew C McCormack, M.D.
• Tiffany D McCormack, M.D.
• Vivian McCown

• Ambulatory Surgical Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.