JOHN L. MCCORMICK (NPI# 1073608246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073608246 |
| Entity Type | Individual |
| Full Name | JOHN L. MCCORMICK |
| Credential | MD |
| Practice Address |
1115 Central Ave Ne Pmg Emergency Medicine Albuquerque NM 87106-4927 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5058411125 |
| Practice Fax Number | 5058411737 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235654 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 94328 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727894 | John Patrick Mccormick | Massage Therapist | 3152 Valley Wood Ln, Napa, CA 94558-5419 | 2020-10-15 |
| 1619151388 | John R Mccormick | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 960 Chequessett Neck Rd, Wellfleet, MA 02667-3706 | 2007-12-18 |
| 1255543518 | John Richards Mccormick | Psychiatry & Neurology | 224 Ponce Deleon Blvd, De Leon Springs, FL 32130-3375 | 2007-05-07 |
| 1285795617 | John Patrick Mccormick | Psychologist | 162 W 56th St Ste 502, New York, NY 10019-3815 | 2006-12-12 |
| 1407863731 | John F Mccormick | Pathology | 18 Rabbit Run Rd, Rose Valley, PA 19086-6218 | 2006-08-01 |
| 1154360428 | John T Mccormick | Optometrist | 5 Edwards Ave, Damariscotta, ME 04543-4252 | 2006-06-05 |
| 1154824183 | John Fredrick Mccormick | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-15 |
| 1477066926 | John Tucker Mccormick | Physician Assistant | 1200 Old York Rd Ste 2b, Abington, PA 19001-3720 | 2017-11-07 |
| 1548715253 | John Mccormick | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-08-23 |
| 1245784180 | John K Mccormick | Nurse Practitioner | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-08-09 |
| Street Address |
1115 CENTRAL AVE NE PMG EMERGENCY MEDICINE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467418475 | Irene Agostini | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-04-26 |
| 1144315318 | Basia Holub | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-04 |
| 1255426425 | Michael Yc Hsu | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-04 |
| 1164517330 | Kevin Kirkpatrick | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-04 |
| 1558456715 | Marshall Saiz | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-04 |
| 1558456723 | Michael E Murphy | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-04 |
| 1306930102 | Benjamin M Stake | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-03 |
| 1083708879 | Andrew B Edwards | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-03 |
| 1891889689 | Denise J Fligner | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-03 |
| 1245324037 | Jennifer F Culver | Emergency Medicine | 1115 Central Ave Ne, Pmg Emergency Medicine, Albuquerque, NM 87106-4927 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1073932471 | Kimberly Marie Ruth Pruett | Emergency Medicine | Unm Department of Emergency Medicine 1 Unm, Albuquerque, NM 87131-4700 | 2014-04-14 |
| 1538509484 | Jason S. Zeller | Emergency Medicine | Msc 11 6025 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-06-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.