JOHN K MCCORMICK (NPI# 1245784180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245784180 |
| Entity Type | Individual |
| Full Name | JOHN K MCCORMICK |
| Credential | FNP |
| Practice Address |
2200 Bryant Williams Dr Suite 1 Klamath Falls OR 97601-1121 |
| Practice Telephone | 5418847746 |
| Practice Fax Number | 5418840848 |
| Mailing Telephone | 5418847746 |
| Mailing Fax Number | 5418840848 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201604411NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD MEDICARE | P01702513 | 01 |
| OR | 500710776 | 05 |
| 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 |
| 1427494046 | John Patrick Mccormick | Surgery | 2125 State St Ste 3, New Albany, IN 47150 | 2013-05-22 |
| Street Address |
2200 BRYANT WILLIAMS DR SUITE 1 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821046962 | Anthony M Hamilton | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2006-05-04 |
| 1902258080 | Gillian Bayley | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-07-12 |
| 1700245339 | Andrew J Smith Dmd | Clinic/Center | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2016-02-10 |
| 1982000436 | Jared R Frost | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2014-11-11 |
| 1336420777 | Jason M Conaughty Md PC | Specialist | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2011-08-30 |
| 1386931723 | Sky Lakes Medical Center Inc | General Practice | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2011-07-06 |
| 1619297587 | Andrew Jacob Smith | Dentist | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2010-06-02 |
| 1578727996 | David Joseph Russell | Surgery | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2008-07-15 |
| 1033373451 | David Joseph Russell Md PC | Surgery | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2008-07-15 |
| 1083885040 | Karl R Knudsen Md PC | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225214927 | Lynne Elizabeth Bettles | Nurse Practitioner | 3001 Daggett Ave Ste 101, Klamath Falls, OR 97601-1126 | 2008-01-14 |
| 1437186897 | Judith Oyama Olson | Nurse Practitioner | 2680 Uhrmann Rd Ste B, Klamath Falls, OR 97601-1174 | 2006-06-28 |
| 1891329330 | Jessica Sweetser | Nurse Practitioner | 2610 Uhrmann Rd, Klamath Falls, OR 97601-1123 | 2020-02-24 |
| 1235771874 | Derek Anthony Harpole | Nurse Practitioner | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2019-10-15 |
| 1992355770 | Leslie Ann Driggers | Nurse Practitioner | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1106 | 2019-09-13 |
| 1750850327 | Julie M Lee | Nurse Practitioner | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1106 | 2018-11-13 |
| 1114494705 | Danielle Smestad | Nurse Practitioner | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1130 | 2018-11-01 |
| 1043794969 | Oriana Cruz | Nurse Practitioner | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2018-09-17 |
| 1467952895 | Kendra Michelle Cundiff | Nurse Practitioner | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2018-02-12 |
| 1124527809 | Aurora Hoyle | Nurse Practitioner | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2018-02-07 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on JOHN K MCCORMICK.
| 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.