DR. JEREMY JAMES MCCORMICK


Address: 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032
Phone: 3147472551

DR. JEREMY JAMES MCCORMICK (NPI# 1265585111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265585111
Entity Type Individual
Full Name DR. JEREMY JAMES MCCORMICK
Credential MD
Practice Address 4921 Parkview Pl
Ste 6a/6b/12a
Saint Louis
MO 63110-1032
Mailing Address 660 S Euclid Ave
Cb 8233
Saint Louis
MO 63110-1010
Practice Telephone 3147472551
Practice Fax Number 3147472598
Mailing Telephone 3147472500
Mailing Fax Number 3147472598
Enumeration Date 2007-01-22
Last Update Date 2019-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
2009008001 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL ENROLLED 05
MO 207050204 05

Other Providers JEREMY MCCORMICK

NPI Name Taxonomy Address Enumeration
1912124520 Jeremy Blake Mccormick Physical Therapist 1970 Roanoke Blvd, Salem, VA 24153-6404 2007-04-18

Office Location

Street Address 4921 PARKVIEW PL
STE 6A/6B/12A
City SAINT LOUIS
State MO
Zip Code 63110-1032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679576359 Peter D Weiss Internal Medicine 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 2005-05-24
1881291284 Brandy R Boyle Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-10-08
1225635527 Faith Fields Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-10-08
1912528100 Kaitlin J Portz Psychologist 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-04-29
1437785979 Jodi Granger Internal Medicine 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-03-17
1174159701 Grace Catherine Keane Student in an Organized Health Care Education/Training Program 4921 Parkview Pl, Saint Louis, MO 63110-1032 2020-03-16
1740828581 Michelle Anne Maurer Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2019-12-11
1205472487 Sarah Bohme Nurse Practitioner 4921 Parkview Pl, Saint Louis, MO 63110-1032 2019-11-21
1972145787 Emily Sarah Cherry Nurse Practitioner 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 2019-10-14
1871144832 Sara Ranae Kellahan Nurse Practitioner 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 2019-09-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710326467 Megan Alexis Walters Orthopaedic Surgery 1755 S Grand Blvd, Saint Louis, MO 63104 2013-06-17
1598087652 Gary J Schmidt Md LLC Orthopaedic Surgery 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 2010-02-17
1619036878 Sandra Elizabeth Klein Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2006-12-06
1275551699 Jeffrey E Johnson Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2006-07-17
1447248455 Gary J Schmidt Orthopaedic Surgery 11605 Studt Ave, Suite One, Saint Louis, MO 63141-7052 2005-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528553880 Rockhill Orthopaedic Specialists Inc Orthopaedic Surgery 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5496 2018-06-28
1205321569 Rockhill Orthopaedic Specialists Inc Orthopaedic Surgery 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086-6011 2018-06-28
1043416985 Nathan John Kiewiet Orthopaedic Surgery 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 2007-06-26
1912085358 Saul Generoso Trevino Orthopaedic Surgery 1100 Virginia Ave, Columbia, MO 65212-0001 2006-11-02
1669417416 James Winston Bogener Orthopaedic Surgery 2301 Holmes St, Department of Orthopaedic Surgery, Kansas City, MO 64108-2640 2006-06-17
1225095557 Timothy M Badwey Orthopaedic Surgery 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-5941 2006-04-28
1104807924 David C Hicks Orthopaedic Surgery 3555 S National Ave, Suite 100, Springfield, MO 65807-7310 2005-11-09

Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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