DR. TIMOTHY JOSEPH MCCORMICK (NPI# 1407069248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407069248 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOSEPH MCCORMICK |
| Credential | DO |
| Practice Address |
12443 San Jose Boulevard Suite 704 Jacksonville FL 32223 |
| Practice Telephone | 9042888886 |
| Practice Fax Number | 9042888331 |
| Mailing Telephone | (904) 288-8888 |
| Mailing Fax Number | 9042888331 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
A-794-84 | NM | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
84-248 | NM | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
160 | NE | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
OS6196 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882609 | Timothy Mccormick | Acupuncturist | 3413 Sullivan Trl, Easton, PA 18040-7642 | 2018-05-28 |
| 1730311762 | Timothy Ray Mccormick | Anesthesiology | 600 Highland Ave, Madison, WI 53792-0001 | 2009-08-08 |
| 1902924319 | Timothy John Mccormick | Physical Therapist | 101 N South St, Wilmington, OH 45177-1646 | 2007-03-26 |
| 1073659306 | Timothy Chad Mccormick | Obstetrics & Gynecology | 2401 S 31st St, Temple, TX 76508-0001 | 2007-01-30 |
| Street Address |
12443 SAN JOSE BOULEVARD SUITE 704 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588780928 | Robert M Chapa Sr. | Preventive Medicine | 5600 Spring Park Rd, Suite 200, Jacksonville, FL 32216-5988 | 2007-03-21 |
| 1093774523 | Craig S Heligman | Preventive Medicine | 500 Water St # J290, Jacksonville, FL 32202-4445 | 2006-03-22 |
| 1528520749 | Angela Anthony | Preventive Medicine | 4130 Salisbury Rd Ste 2400, Jacksonville, FL 32216-8052 | 2019-04-05 |
| 1013013937 | Robert L. Gordon Jr. | Preventive Medicine | 901 W Morton Ave, Suite 16a, Jacksonville, IL 62650-3145 | 2006-09-16 |
| 1043315393 | Rebecca Mcmullen Gonzalez | Preventive Medicine | 2025 Park St, Jacksonville, FL 32204-3809 | 2006-09-13 |
| 1093789398 | Karen Mikelait Allstadt | Preventive Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| 1740707165 | Hannah Wyman | Preventive Medicine | 9182 Roan Ln, Lake Park, FL 33403-1030 | 2017-08-25 |
| 1881145407 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 5406 Hoover Blvd Ste 21, Tampa, FL 33634-5330 | 2016-10-19 |
| 1518416668 | U.S. Healthworks Meddical Group of Florida, Inc. | Preventive Medicine | 3012 N Us Highway 301, Suite 100, Tampa, FL 33619-2274 | 2016-09-30 |
| 1093264178 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 1109 Se 10th St, Ocala, FL 34471-4570 | 2016-09-29 |
| 1134678394 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 1786 Nw 2nd Ave, Boca Raton, FL 33432-1653 | 2016-09-29 |
| 1205385390 | U.S. Healthworks Medical Group of Florida, Inc. | Preventive Medicine | 8010 Sunport Dr, Unit 116, Orlando, FL 32809-8112 | 2016-09-29 |
| 1922494004 | Karen Olson | Preventive Medicine | 2712 Laurel Oak Dr, Plant City, FL 33566-6740 | 2015-04-15 |
| 1528301132 | Michael David Deveau | Preventive Medicine | 8318 N Habana Ave, Tampa, FL 33614 | 2013-04-02 |
| 1184963415 | Juan Carlos Alonso | Preventive Medicine | 6221 Nw 36th Street, Miami, FL 33166 | 2013-02-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
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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.