Mollie A. Maccormack, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

17581 Issued in NH

Practice address

17 Prospect St
Nashua, NH 03060-3956

Phone

(603) 883-8311

Fax

(603) 883-8317

NPI assigned

Oct 16, 2006

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Dermatology

Education

University of Massachusetts Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmaccormack91903@direct.solutionhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foundation Medical Partners Inc

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1033162037

  Dermatology

  Medicare reassignment Care Compare group NPD
• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern NH Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1245447994
  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1982784823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603956",
            "telephone_number": "603-883-8311",
            "fax_number": "603-883-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCORMACK",
        "first_name": "MOLLIE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "215758",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "215758",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NH",
            "license": "17581",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "215758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110037844A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Lynch, BS
• John T Lynn II, MD
• Conor Lyons, DPT
• Stephen Lyons, PT
• Kayleigh Rebecca Maas, PA-C
• Danielle Macdonald, LICSW
• Heidi Macdonald
• Kelly M Macdonald, OD
• Meghan Macdonald, BA
• Tyler Macdormand, PT, DPT

• MOHS-Micrographic Surgery Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• MOHS-Micrographic Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.