Individual provider Active NPI

Eleanor Mae McCormac, PA

  • Medical Physician Assistant
  • Asheville, NC
National Provider Identifier
1891024030
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101582 Issued in NC
Practice address
2 Medical Park Dr
Suite 1000
Asheville, NC 28803-7782
Phone
(828) 254-5326
Fax
(828) 251-5954
NPI assigned
Dec 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101582 NC Primary

Addresses

Primary practice location

2 Medical Park Dr
Suite 1000
Asheville, NC 28803-7782

Mailing address

2 Medical Park Dr
Suite 1000
Asheville, NC 28803-7782
Phone (828) 254-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101582NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Pediatric Associates Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1891024030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 1000",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037782",
            "telephone_number": "828-254-5326",
            "fax_number": "828-251-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 1000",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037782",
            "telephone_number": "828-254-5326",
            "fax_number": "828-251-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMAC",
        "first_name": "ELEANOR",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.