PAUL JOSEPH MCCORMICK (NPI# 1295255537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295255537 |
| Entity Type | Individual |
| Full Name | PAUL JOSEPH MCCORMICK |
| Practice Address |
823 Maple St Brainerd MN 56401-3770 |
| Mailing Address |
27416 County Road 36 Aitkin MN 56431-6042 |
| Practice Telephone | 2184543828 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
304839 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760545917 | Paul Wagler Mccormick | Counselor | 111 N. Last Chance Gulch Suite 2a, Helena, MT 59601 | 2006-12-19 |
| 1194188896 | Paul Christian Mccormick | Psychiatry & Neurology | 525 E 68th St # 140, New York, NY 10065-4870 | 2016-03-30 |
| 1891843934 | Paul Christian Mccormick | Neurological Surgery | 710 W 168th St, New York, NY 10032-3726 | 2007-01-08 |
| 1215001680 | Paul Glen Mccormick | Psychologist | 271 Main St, Suite 205, Stoneham, MA 02180-3591 | 2006-11-20 |
| 1366498156 | Paul C Mccormick | Anesthesiology | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2006-05-25 |
| 1275581340 | Paul M Mccormick | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2006-05-04 |
| 1497759815 | Paul W. Mccormick | Specialist | 3560 Delaware St, 209, Beaumont, TX 77706-3059 | 2005-06-13 |
| Street Address |
823 MAPLE ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679682488 | Dina Rae Kowalski | Marriage & Family Therapist | 823 Maple St, Brainerd, MN 56401-3770 | 2006-08-29 |
| 1396359493 | Christy Lee Dano | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2020-09-04 |
| 1619591807 | Sarah Timpane | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2020-06-03 |
| 1538794524 | Shae Edgerton | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2020-03-10 |
| 1043857774 | Amanda Mary Kampa | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2019-12-02 |
| 1356804462 | Catherine Disterhaupt | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2019-04-08 |
| 1659840031 | Tyra Lee Taylor | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2018-11-15 |
| 1780165274 | Mariah Pundsack | Social Worker | 823 Maple St, Brainerd, MN 56401-3770 | 2018-08-23 |
| 1306324777 | Anne Marie Roach | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-07-29 |
| 1609363340 | Myrna Jean Deyoung | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487169488 | Elissa L Hartwig | Counselor | 15940 Pine Shores Rd, Brainerd, MN 56401-5827 | 2017-12-12 |
| 1043569049 | Ralph Berry | Counselor | 15 Washington St Ste 4, Brainerd, MN 56401-3351 | 2012-09-05 |
| 1912037276 | Ladonna Strange | Counselor | 2027 S 6th St, Suite 203, Brainerd, MN 56401-5500 | 2007-03-06 |
| 1396359493 | Christy Lee Dano | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2020-09-04 |
| 1457817330 | Judy Kriesel | Counselor | 2215 S 6th St, Brainerd, MN 56401-5549 | 2019-02-15 |
| 1306324777 | Anne Marie Roach | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-07-29 |
| 1609363340 | Myrna Jean Deyoung | Counselor | 823 Maple St, Brainerd, MN 56401-3770 | 2018-04-18 |
| 1194185728 | Carlyn Becker | Counselor | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401-2887 | 2016-02-24 |
| 1881051621 | Miranda Kay Skinner | Counselor | 520 Nw 5th St, Brainerd, MN 56401 | 2016-01-25 |
| 1427423987 | Troy Delbert Heagle | Counselor | 2215 S 6th St, Brainerd, MN 56401-5549 | 2015-12-09 |
| Find all providers in BRAINERD | ||||
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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.