Individual provider Active NPI

Steven L McCormick, MD

  • Interventional Cardiology Physician
  • Charleston, WV
National Provider Identifier
1932162948
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
13157 Issued in WV
Practice address
2930 Chesterfield Ave
Charleston, WV 25304-1125
Phone
(304) 343-9923
Fax
(304) 343-9925
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 13157 WV Primary
Nuclear Cardiology Physician 207UN0901X 13157 WV
Cardiovascular Disease Physician 207RC0000X 13157 WV

Addresses

Primary practice location

2930 Chesterfield Ave
Charleston, WV 25304-1125

Mailing address

2930 Chesterfield Ave
Charleston, WV 25304-1125
Phone (304) 343-9923

Other identifiers 1

IdentifierTypeStateIssuer
0085391001MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040914000165 WV Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779550389 Reassigns benefits to 1 organization
I20200521003064 GA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 3779550389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Sep 9, 2013 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 9, 2013 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Associated Radiologists, Inc. Past Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients
Charleston Cardiology Group PLLC Cardiovascular Disease Past Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820

2930 Chesterfield Ave
Charleston, WV 25304
Phone (304) 343-9923

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

119 Main St W
Oak Hill, WV 25901
Phone (304) 647-6552

Organizations & group practices 6

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1932162948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041125",
            "telephone_number": "304-343-9923",
            "fax_number": "304-343-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CHESTERFIELD AVE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041125",
            "telephone_number": "304-343-9923",
            "fax_number": "304-343-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "13157",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "WV",
            "license": "13157",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "13157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085391001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.