DR. JOHNATHON BEAUX MCCORMICK SR. (NPI# 1508995879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508995879 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHON BEAUX MCCORMICK SR. |
| Credential | D.M.D. |
| Practice Address |
3506 Washington Ave Ste I Gulfport MS 39507-3102 |
| Practice Telephone | 2288681942 |
| Practice Fax Number | 2288681944 |
| Mailing Telephone | 2288681942 |
| Mailing Fax Number | 2288681944 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3134-00 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775246 | Johnathon Robert Mccormick | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2020-03-23 |
| Street Address |
3506 WASHINGTON AVE STE I |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093128894 | James Patton Webb II | Dentist | 15503 Oak Ln # 300b, Gulfport, MS 39503-2697 | 2014-06-09 |
| 1134552623 | Raeline K. Mcintyre, Dmd, P.C. | Dentist | 505 Cowan Rd, Gulfport, MS 39507-2024 | 2013-08-20 |
| 1205136785 | Lauren Michelle Bolton | Dentist | 1708 E Pass Rd, Gulfport, MS 39507-3528 | 2010-10-29 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1396976643 | Guido Sutter | Dentist | 19441 Pinehurst Pl. E., Gulfport, MS 39503-8455 | 2009-08-05 |
| 1700089810 | Gulf Coast Dental Center | Dentist | 3118 15th St, Gulfport, MS 39501-2708 | 2007-06-06 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| 1366514135 | John Reagan Hall | Dentist | 2216 17th St, Gulfport, MS 39501-2901 | 2006-11-15 |
| 1184796021 | Roy L Irons | Dentist | 3118 15th Street, Gulfport, MS 39505 | 2006-11-15 |
| Find all providers in GULFPORT | ||||
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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.