Organization Active NPI

Alice McCormick, D.O., P.C.

  • Internal Medicine Physician
  • Greentown, PA
National Provider Identifier
1942307046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALICE MCCORMICK, D.O., P.C.
Practice address
1565 Route 507
Keystone Complex
Greentown, PA 18426-4503
Phone
(570) 676-4000
Fax
(570) 676-4060
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alice G McCormick, D.O.NPI 1689658395
Title
Physician
Phone
(570) 676-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1565 Route 507
Keystone Complex
Greentown, PA 18426-4503

Mailing address

1565 Route 507
Keystone Complex
Greentown, PA 18426-4503
Phone (570) 676-4000

National Provider Directory

National Provider Directory

Locations

1565 Route 507
Greentown, PA 18426
Phone (570) 676-4000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942307046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 ROUTE 507",
            "address_2": "KEYSTONE COMPLEX",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264503",
            "telephone_number": "570-676-4000",
            "fax_number": "570-676-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 ROUTE 507",
            "address_2": "KEYSTONE COMPLEX",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184264503",
            "telephone_number": "570-676-4000",
            "fax_number": "570-676-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE MCCORMICK, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-676-4000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.