Individual provider Active NPI

Betsy McCormick, M.D.

  • Reproductive Endocrinology Physician
  • Temple Terrace, FL
National Provider Identifier
1952482846
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
ME101376 Issued in FL
Practice address
5245 E Fletcher Ave
Suite 1
Temple Terrace, FL 33617-1126
Phone
(813) 914-7314
Fax
(813) 676-8812
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X ME101376 FL Primary

Addresses

Primary practice location

5245 E Fletcher Ave
Suite 1
Temple Terrace, FL 33617-1126

Mailing address

5245 E Fletcher Ave
Suite 1
Temple Terrace, FL 33617-1126
Phone (813) 914-7314

Other identifiers 1

IdentifierTypeStateIssuer
2572032MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000137 FL Practitioner - Obstetrics/Gynecology 6002851482

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1952482846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 E FLETCHER AVE",
            "address_2": "SUITE 1",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-914-7314",
            "fax_number": "813-676-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 E FLETCHER AVE",
            "address_2": "SUITE 1",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-914-7314",
            "fax_number": "813-676-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "BETSY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "FL",
            "license": "ME101376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2572032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.