Mary Jo McCormack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1580 Issued in OH

Practice address

7819 Broadview Rd
Seven Hills, OH 44131-6146

Phone

(216) 524-7313

Fax

(216) 524-7312

NPI assigned

May 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McCormack Family Chiropractic Inc

  • Chiropractor
  • Seven Hills, OH
  • NPI 1699810887
  NPD (past) Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1871547174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 BROADVIEW RD",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441316146",
            "telephone_number": "216-524-7313",
            "fax_number": "216-524-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 BROADVIEW RD",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441316146",
            "telephone_number": "216-524-7313",
            "fax_number": "216-524-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MARY JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341877233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Mantkowski
• Joshua Matthews
• Nicolette Maurer, CT
• Kaitlyn McCarthy
• McCormack Family Chiropractic Inc
• Patrick McDermott, PSYCHOLOGIST
• Lucy Mabel McKernan
• Natalie Adele McKinney, LISW
• Helen Jean McWilliams, MSPT
• Kathleen Marie Mehosky, MS,CCC-SLP

• Chiropractor in Seven Hills, OH
• Providers in Seven Hills, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.