DR. MICHAEL THOMAS MCCORMICK (NPI# 1336161181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336161181 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS MCCORMICK |
| Credential | DPM |
| Practice Address |
115 Shamrock Blvd Venice FL 34293-1630 |
| Practice Telephone | 9414938666 |
| Practice Fax Number | 9414975411 |
| Mailing Telephone | 9414938666 |
| Mailing Fax Number | 9414975411 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO1705 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029657100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018176 | Michael Patrick Mccormick | Physician Assistant | 76 Scott Cir, Dedham, MA 02026-6423 | 2020-09-22 |
| 1356710636 | Michael Mccormick | Physical Therapist | 5141 E. I-20, Service Road North, Willow Park, TX 76087 | 2015-09-17 |
| 1225295074 | Michael Vincent Mccormick II | Counselor | 720 South B St, Bldg# M-1 M-2, San Mateo, CA 94401 | 2008-05-20 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1780796177 | Michael Sean Mccormick | Dentist | 33 Center St, East Aurora, NY 14052-2244 | 2006-08-31 |
| 1548204597 | Michael E Mccormick | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2006-06-16 |
| 1245279710 | Michael Cooper Mccormick | Dentist | 2015 Wilmington Rd, New Castle, PA 16105-1928 | 2006-06-06 |
| 1992753586 | Michael S Mccormick | Social Worker | 1129 Fall River Cir, Longmont, CO 80504-8770 | 2006-05-05 |
| 1235103938 | Michael A Mccormick | Surgery | 107 Town Center Rd, King of Prussia, PA 19406-2330 | 2006-02-17 |
| 1063496982 | Michael J Mccormick | Allergy & Immunology | 94 Mendon St, Hopedale, MA 01747-1311 | 2005-12-05 |
| Street Address |
115 SHAMROCK BLVD |
| City | VENICE |
| State | FL |
| Zip Code | 34293-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932581931 | Daniel London | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293 | 2015-06-25 |
| 1003167206 | Barbara Marie Buckley | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2012-09-27 |
| 1710104583 | Michael T. Mccormick & Associates Pa | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2007-04-20 |
| 1679673123 | Roy Clint Laird | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-09-25 |
| 1780607978 | Boyd Allan Robinson | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649288663 | Mary Michelle Bogen | Podiatrist | 712 The Rialto, Venice, FL 34285-3524 | 2006-08-04 |
| 1598720930 | Louis S. Giannone, Dpm Pllc | Podiatrist | 1201 Jacaranda Blvd, Venice, FL 34292-4535 | 2006-04-19 |
| 1023001492 | Louis S. Giannone | Podiatrist | 411 Commercial Ct, Unit G, Venice, FL 34292-1650 | 2005-08-31 |
| 1033559612 | Brielle Lynn Roggow | Podiatrist | 712 The Rialto, Venice, FL 34285-3524 | 2013-06-27 |
| 1932470648 | Gulf Coast Hma Physician Management LLC | Podiatrist | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2012-01-26 |
| 1679673123 | Roy Clint Laird | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-09-25 |
| 1780607978 | Boyd Allan Robinson | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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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.