Michael H McCormick M D P a

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME104621 Issued in FL

Legal business name

MICHAEL H MCCORMICK M D P A

Practice address

2202 State Ave
Suite 300
Panama City, FL 32405-7601

Phone

(850) 769-2417

Fax

(850) 784-1144

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Doris B. Kelley

Title

Medical Assistant

Phone

(850) 769-2417

Specialties & licenses 2

Addresses

Other identifiers 9

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen A Purvis, D.O.

  • Orthopaedic Surgery Physician
  • Palm Bay, FL
  • NPI 1407885882
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1811917628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 300",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-769-2417",
            "fax_number": "850-784-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 300",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-769-2417",
            "fax_number": "850-784-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H MCCORMICK M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "850-769-2417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0051595",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME104621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI  PURVIS",
            "identifier": "1407885882",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058854700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL L ADAMS MD NPI",
            "identifier": "1346270881",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "14798",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCCORMICK NPI NUMBER",
            "identifier": "1982677936",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200012815",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "37186Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DEBRA J KELLEY ARNP-C",
            "identifier": "1477505717",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PURVIS",
            "identifier": "P00420317",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl Roger Metzger, PHARMACIST
• Kelly Putman Meyer, PT
• MFM MD Services, LLC
• Mahmod Mhamad Darfil, MD
• Ajay Umesh Mhatre, M.D.
• Michael L Adams MD LLC
• Michael W Reed MD PA
• Michael W. Hennigan, P.a.
• Michael X Rohan MD PA
• Alecia Lee Michael, RBT

• Orthopaedic Surgery Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.