Michael a McCormick DO PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

AL DO 909 Issued in AL

Legal business name

MICHAEL A MCCORMICK DO PC

Practice address

15225 Highway 43
Suite I
Russellville, AL 35653-1999

Phone

(256) 331-8898

Fax

(256) 331-8899

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael A McCormick, D.O.NPI 1235103938

Title

President

Phone

(256) 331-8898

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A McCormick, D.O.

  • Surgery Physician
  • King of Prussia, PA
  • NPI 1235103938
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1922025576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43",
            "address_2": "SUITE I",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-8898",
            "fax_number": "256-331-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43",
            "address_2": "SUITE I",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-8898",
            "fax_number": "256-331-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A MCCORMICK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-331-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "AL DO 909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Charles Mayfield
• David W McGee, OD
• Medexpress Littleville LLC
• Medexpress Littleville LLC
• Medical Center Pharmacy
• Bryan Miller
• Alyssa W Minshew
• Mission Medical, Inc
• Jo Anna Lea Monroe, CRNP
• Carole Ann Montgomery, RPH

• Surgery Physician in Russellville, AL
• Providers in Russellville, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.