DR. PATRICK MICHAEL MCCORMICK (NPI# 1215092820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215092820 |
| Entity Type | Individual |
| Full Name | DR. PATRICK MICHAEL MCCORMICK |
| Credential | DDS |
| Practice Address |
510 E State St Mauston WI 53948 |
| Practice Telephone | 6088475614 |
| Practice Fax Number | 6088477265 |
| Mailing Telephone | 6088475614 |
| Mailing Fax Number | 6088477265 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5001326WI | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33650400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477947968 | Patrick Mccormick | Physical Therapist | 4136 W Tilghman St # 5, Allentown, PA 18104-4428 | 2015-03-24 |
| 1750927448 | Patrick Stapleton Mccormick | Student in an Organized Health Care Education/Training Program | 1400 S Grand Ave Ste 600, Los Angeles, CA 90015-3068 | 2019-11-18 |
| 1033778139 | Patrick Mccormick | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-06-12 |
| 1548716632 | Patrick Joseph Mccormick | Counselor | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2016-08-29 |
| 1700256625 | Patrick Mccormick | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2015-10-05 |
| 1073878344 | Patrick Thomas Mccormick | Internal Medicine | 12631 E 17th Ave, Mail Stop 8200 - Ao1, Rm 2414, Aurora, CO 80045-2527 | 2012-07-11 |
| 1902065840 | Patrick J Mccormick | Anesthesiology | 1275 York Ave, New York, NY 10065-6007 | 2008-06-05 |
| 1346269768 | Patrick J Mccormick | Internal Medicine | 12255 S 80th Ave, Palos Heights, IL 60463-1270 | 2006-07-18 |
| 1124021514 | Patrick W Mccormick | Neurological Surgery | 2222 Cherry St, Ste M200, Toledo, OH 43608-2673 | 2005-05-31 |
| Street Address |
510 E STATE ST |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578936449 | Ma Marcie Yang Dds, Ms LLC | Dentist | 510 E State St, Mauston, WI 53948-1746 | 2015-11-02 |
| 1871720466 | Mai Yamee Xiong | Dentist | 510 E State St, Mauston, WI 53948-1746 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| 1124686514 | Mongtu Thi Ngo | Physician Assistant | 1050 Division St, Mauston, WI 53948 | 2019-05-31 |
| Find all providers in zip 53948 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831500875 | Mdc Mauston Sc | Dentist | 205 Division St Ste B, Mauston, WI 53948-2110 | 2014-05-13 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1366950602 | Danielle Peterson | Dentist | 880 Herriot Dr, Mauston, WI 53948-2031 | 2018-01-22 |
| 1265745962 | Ram Rizal | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-07-22 |
| 1871720466 | Mai Yamee Xiong | Dentist | 510 E State St, Mauston, WI 53948-1746 | 2009-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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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.