Eileen M McCormick, WHNP-BC

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN051676 Issued in AZ

Practice address

15515 N Reems Rd
Suite 101
Surprise, AZ 85374-9549

Phone

(623) 544-1000

Fax

(623) 544-1025

NPI assigned

Jan 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Banner Sun City Medical Group

  • Multi-Specialty Clinic/Center
  • Sun City, AZ
  • NPI 1902067200
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1871572438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 N REEMS RD",
            "address_2": "SUITE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749549",
            "telephone_number": "623-544-1000",
            "fax_number": "623-544-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 N REEMS RD",
            "address_2": "SUITE 101",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749549",
            "telephone_number": "623-544-1000",
            "fax_number": "623-544-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN051676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Gordon McCallum, MSN, FNP-C, RN
• Megan L McCarty, PT
• Hannah Christine McCauley
• Marissa McCline, FNP-BC
• Rhashanna McCombs, MSC, LPC, PMHNP-BC
• Brooke McDermott, RBT
• Shawn McDonald, HAD
• Grace McDonough
• Kendra McDougall
• Jane McEwan, RD

• Obstetrics & Gynecology Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Obstetrics & Gynecology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.