DR. BARRETT ZACHARY MCCORMICK (NPI# 1235495003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235495003 |
| Entity Type | Individual |
| Full Name | DR. BARRETT ZACHARY MCCORMICK |
| Credential | M.D. |
| Practice Address |
1301 Palm Ave Jacksonville FL 32207-8432 |
| Mailing Address |
Po Box 45278 Jacksonville FL 32232-5278 |
| Practice Telephone | 9042027300 |
| Practice Fax Number | 9042027433 |
| Mailing Telephone | 9042022092 |
| Mailing Fax Number | 9043937603 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME141603 | FL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | R2916 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 376702201 | 05 | |
| TX | 376702202 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12901 Bruce B Downs Blvd # 41, Tampa, FL 336124742 | 8132598581 | 8135898507 |
| 1515 Holcombe Blvd, Houston, TX 770304000 | 7137922991 |
| Street Address |
1301 PALM AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112261 | Russell B Smith | Otolaryngology | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2005-08-24 |
| 1669096897 | Kimberly Nguyen Blythe | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2020-06-03 |
| 1609409945 | Emma Kate Alpert | Physician Assistant | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2020-02-14 |
| 1053964403 | Caitlyn Mitchell | Genetic Counselor, MS | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2019-07-24 |
| 1972167740 | Jessica C Terrell | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2019-04-27 |
| 1689135998 | Ghazal S Vafabakhsh | Physician Assistant | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2019-03-28 |
| 1710456215 | Jacquelene Marie Carson | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2018-11-14 |
| 1770059008 | Leslie Shannan Weaver | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2018-10-14 |
| 1659852325 | Patrick Alan Regis | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2018-08-22 |
| 1568941276 | Baptist-southeast Gynecologic Oncology Associates Inc | Internal Medicine | 1301 Palm Ave, Jacksonville, FL 32207 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859041 | Soroush Bazargani | Urology | 653 W 8th St Lrc Bldg Fl 2, Jacksonville, FL 32216-6511 | 2017-02-09 |
| 1538534409 | Clinical Urology Associates, P.C. | Urology | 820 Pelham Rd S, Jacksonville, AL 36265-2736 | 2015-12-03 |
| 1356692065 | Onslow Ambulatory Services, Inc. | Urology | 52 Office Park Dr, Suite B, Jacksonville, NC 28546-3217 | 2012-09-21 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1275597817 | Thomas L Wilson M D Ltd | Urology | 814 W State, Jacksonville, IL 62650 | 2006-04-12 |
| 1164484267 | Charles Stott Wilson | Urology | 814 West State, Jacksonville, IL 62650 | 2006-04-04 |
| 1912967860 | Fawaz M Ashouri | Urology | 2301 University Blvd W, Jacksonville, FL 32217 | 2006-03-24 |
| 1972578136 | Christopher Ramon Williams | Urology | 8708 Perimeter Park Blvd Ste 4, Jacksonville, FL 32216 | 2006-02-21 |
| 1659374320 | Ahmad Kasraeian | Urology | 6269 Beach Blvd, Ste 2, Jacksonville, FL 32216-2705 | 2005-05-24 |
| 1013542919 | Ackerman Cancer Center, Pa | Urology | 10232 San Jose Blvd, Jacksonville, FL 32257 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.