DR. MATTHEW D. MCCORMICK (NPI# 1295998649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295998649 |
Entity Type | Individual |
Full Name | DR. MATTHEW D. MCCORMICK |
Credential | D.O. |
Practice Address |
326 W 64th St Chicago IL 60621-3114 |
Practice Telephone | 7739623900 |
Practice Fax Number | 6307341560 |
Mailing Telephone | 7739623900 |
Mailing Fax Number | 6307341560 |
Enumeration Date | 2008-07-07 |
Last Update Date | 2008-07-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036-119922 | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619322336 | Matthew James Mccormick | Anesthesiology | 75 Francis Street, Cwn L1, Bwh, Department of Anesthesiology, Boston, MA 02115 | 2016-05-01 |
1225541543 | Matthew Mccormick | Case Manager/Care Coordinator | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2017-11-08 |
1558660621 | Matthew J. Mccormick | Psychologist | 1777 Axtell Dr, Suite 100, Troy, MI 48084-4404 | 2011-03-15 |
1922121953 | Matthew P Mccormick | Internal Medicine | 5880 University Ave Ste 102, West Des Moines, IA 50266-8209 | 2007-04-06 |
1023104718 | Matthew J Mccormick | Radiology | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-10-04 |
Street Address |
326 W 64TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60621-3114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
1588262422 | Hailee Goodale | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3146 | 2020-10-13 |
1619575560 | Iveta Janusauskaite | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3114 | 2020-10-13 |
1649838004 | St Bernard Hospital & Health Care Center | Radiology | 326 W 64th St, Chicago, IL 60621-3114 | 2019-05-31 |
1144887738 | Chindika Healthcare Inc. | Internal Medicine | 326 W 64th St, Chicago, IL 60621-3114 | 2019-05-20 |
1467922005 | St Bernard Hospital & Health Care Center | Pathology | 326 W 64th St, Chicago, IL 60621-3114 | 2018-11-27 |
1366934176 | Sunil Sam | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3114 | 2018-06-06 |
1073003463 | Jessica Lynn Frith | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3146 | 2018-05-11 |
1588168934 | Kaitlyn Eisenberg | Dietitian, Registered | 326 W 64th St, Chicago, IL 60621-3114 | 2018-03-21 |
1538675699 | Dominique Yvette Murry | Nurse Practitioner | 326 W 64th St, Chicago, IL 60621-3114 | 2017-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
Find all providers in zip 60621 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033760715 | Michael James Doolin | Emergency Medicine | 1338 S Clinton St, Chicago, IL 60607-5037 | 2019-09-24 |
1578091971 | The Board of Trustee for The University of Illinois | Emergency Medicine | 10000 West O'hare, Terminal 2, Chicago, IL 60660-0508 | 2017-05-30 |
1669712808 | Kathryn Theresa Pajak | Emergency Medicine | 5659 S Oak Park Ave, Chicago, IL 60638-3227 | 2013-02-26 |
1174832976 | Craig William Dean | Emergency Medicine | 155 N Harbor Dr Apt 309, Chicago, IL 60601-7386 | 2010-09-28 |
1770809881 | King, Ltd | Emergency Medicine | 9332 S Vanderpoel Ave, Chicago, IL 60643-5852 | 2010-04-14 |
1528099876 | Robert Newell Miller Iv | Emergency Medicine | 4349 N Campbell Ave, Unit A, Chicago, IL 60618-1664 | 2006-07-05 |
1164462248 | Joseph Stock | Emergency Medicine | 119 W Chestnut St, Chicago, IL 60610-3288 | 2006-06-07 |
1093761363 | Erica Salaman | Emergency Medicine | 1841 W 19th St, 2r, Chicago, IL 60608-2713 | 2006-05-26 |
1649245564 | Christopher Beach | Emergency Medicine | 211 East Ontario, Suite 200, Chicago, IL 60611-3284 | 2006-02-22 |
1093792806 | Steve R Edelstein | Emergency Medicine | 73 Remittance Dr, Suite 1951, Chicago, IL 60675-1000 | 2005-12-22 |
Find all providers in CHICAGO |
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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.