KELLY ALEXANDER MCCORMICK (NPI# 1497102784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497102784 |
| Entity Type | Individual |
| Full Name | KELLY ALEXANDER MCCORMICK |
| Credential | M.D. |
| Practice Address |
817 Princeton Ave Sw Pob II; Suite 106 Birmingham AL 35211-1333 |
| Practice Telephone | 2059711257 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905966 | Kelly J Mccormick | Speech-Language Pathologist | 1359 Plum Creek Dr, Bourbonnais, IL 60914-1533 | 2016-07-07 |
| 1801264528 | Kelly J Mccormick | Counselor | 8810 Torchwood Dr, Trinity, FL 34655-5333 | 2015-09-11 |
| 1851490650 | Kelly A Mccormick | Chiropractor | 5101 Old Highway 5 Ste 1, Woodstock, GA 30188 | 2006-09-21 |
| 1801431259 | Kelly Ann Mccormick | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-11-08 |
| 1790347961 | Kelly Mccormick | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-07-08 |
| 1447815857 | Kelly Nicole Mccormick | Nurse Practitioner | 1401 Nicholasville Rd, Lexington, KY 40503-1140 | 2019-05-01 |
| 1922455328 | Kelly Mccormick | Physical Therapist | 3201 Farnam St Ste 6110, Omaha, NE 68131-3405 | 2016-05-16 |
| 1932534039 | Kelly Mccormick | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-09-08 |
| 1770867335 | Kelly Mccormick | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2011-09-30 |
| 1912211749 | Kelly Marie Mccormick | Social Worker | 1450 Chapel St, 2nd Floor- Haelen Center, New Haven, CT 06511-4405 | 2010-08-04 |
| Street Address |
817 PRINCETON AVE SW POB II; SUITE 106 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548242563 | Michael A Drummond | Surgery | 817 Princeton Ave Sw, Suite 306, Birmingham, AL 35211-1333 | 2005-11-16 |
| 1497275234 | Sagarika Gokul | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Birmingham, AL 35211-1333 | 2017-06-22 |
| 1447786058 | Ashish Patel | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1912433525 | Eva Olariu | Internal Medicine | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1497281943 | Donald Jones | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1740716331 | Dallas Blanco | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1871029470 | Ariana Diamond | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1285160879 | Alexander Davis | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1124554712 | William Thomas | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| 1639605223 | Zachary Keenum | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II, Suite 106, Birmingham, AL 35211-1333 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734512 | Namrata Pradeep Landge | Student in an Organized Health Care Education/Training Program | 1919 7th Ave S # 304, Birmingham, AL 35233-2005 | 2020-06-10 |
| 1558985606 | Lauren Miele | Student in an Organized Health Care Education/Training Program | 1701 1st Ave S Apt 655, Birmingham, AL 35233-1864 | 2020-06-04 |
| 1982226031 | James Edward Bryant Jr. | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S # Cpmc272, Birmingham, AL 35294-0004 | 2020-05-12 |
| 1215558929 | Wangsoo Lee | Student in an Organized Health Care Education/Training Program | 1720 2nd Ave S # 412, Birmingham, AL 35294-1732 | 2020-05-04 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1144840224 | Mark Thomas Dean | Student in an Organized Health Care Education/Training Program | S: 625 19th Street South Birmingham Al 35249, Birmingham, AL 35249-0001 | 2020-04-20 |
| 1831726561 | Aniela Sosnowski | Student in an Organized Health Care Education/Training Program | 1720 S Eton St, Birmingham, MI 48009-7249 | 2020-03-24 |
| 1023645702 | Kyle Glisson | Student in an Organized Health Care Education/Training Program | 2000 2nd Ave S Apt 518, Birmingham, AL 35233-2087 | 2020-03-24 |
| 1740816677 | Sellers Boudreau | Student in an Organized Health Care Education/Training Program | 1212 Wales Ave, Birmingham, AL 35213-1414 | 2020-03-23 |
| 1205462322 | Jeremie Matthew Peabody Lever | Student in an Organized Health Care Education/Training Program | 1825 University Blvd Shel 121, Birmingham, AL 35294-2182 | 2020-03-20 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on KELLY ALEXANDER 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.