MR. DAUVON LAMAR MCCORMICK (NPI# 1356865109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356865109 |
| Entity Type | Individual |
| Full Name | MR. DAUVON LAMAR MCCORMICK |
| Credential | CCP |
| Practice Address |
14603 Huebner Rd. Blg 28, Ste 28101 San Antonio TX 78203 |
| Mailing Address |
14603 Huebner Rd Ste 28101 San Antonio TX 78230-5497 |
| Practice Telephone | (210) 614-7074 |
| Mailing Telephone | 2106147074 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | FPF02000050 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
14603 HUEBNER RD. BLG 28, STE 28101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164738142 | His Holdings Group LLC, His Kids Ambulatory Infusion Ctr | Clinic/Center | 812 S. Hackberry St., San Antonio, TX 78203 | 2010-08-27 |
| 1629222468 | Issac Community Placement Svcs. | Case Management | 201 Dilworth Street, San Antonio, TX 78203 | 2008-11-06 |
| 1982863874 | Joe Bill Whitley Dds Inc | Dentist | 2206 East Commerce, San Antonio, TX 78203 | 2008-06-05 |
| 1275729782 | Basher M Salem | Counselor | 212 S. New Braunfles, San Antonio, TX 78203 | 2007-09-18 |
| 1942601380 | Bellinger Wellness Clinic | Clinic/Center | 812 S Hackberry, San Antonio, TX 78203-1432 | 2014-09-04 |
| 1477635050 | Health Incorporated Adult Daycare | Nursing Care | 217 Cactus St, San Antonio, TX 78203-1507 | 2006-10-20 |
| 1154956191 | Dominique Rivera | Behavior Technician | 802 Nevada St, San Antonio, TX 78203-1532 | 2020-03-10 |
| 1760985378 | Phyllis Jean Lee | Health Educator | 304 Dilworth St, San Antonio, TX 78203-1806 | 2018-03-10 |
| 1447381710 | Anthony D Sabino | Dentist | 2206 E Commerce St, San Antonio, TX 78203-1902 | 2007-03-08 |
| 1447417043 | Joe Bill Whitley,dds,inc. | Dentist | 2206 E Commerce St, San Antonio, TX 78203-1902 | 2008-05-21 |
| Find all providers in zip 78203 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1386064202 | Sandra Powell Melchor | Perfusionist | 8518 Shooting Quail, San Antonio, TX 78250-4613 | 2014-04-17 |
| 1891065793 | Haven Allan Young | Perfusionist | 1331 S Flores St, 308, San Antonio, TX 78204-1655 | 2012-01-09 |
| 1336455039 | Shelby Mcneel Miller | Perfusionist | 210 Halcyon Pl, San Antonio, TX 78209-3825 | 2010-08-19 |
| 1124202767 | Alaeddin M. Taher | Perfusionist | 622 Mathis Mdw, San Antonio, TX 78251-4344 | 2007-12-18 |
| 1265554414 | Robert Matthew Browne | Perfusionist | 14603 Huebner Rd Bldg 28, Ste. 28101, San Antonio, TX 78230-5497 | 2007-04-06 |
| 1467074674 | Tyrone Lamar Crews | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-05-11 |
| 1164042776 | Amy Jo Walker | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-23 |
| 1457970972 | Erica Ryu Ellsworth | Perfusionist | 14603 Huebner Rd Bldg 28, San Antonio, TX 78230-5497 | 2020-04-14 |
| 1306475579 | Justin Manley | Perfusionist | 14603 Huebner Rd Ste 28101, San Antonio, TX 78230-5497 | 2020-04-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78203 |
Please comment or provide details below to improve the information on MR. DAUVON LAMAR 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.