DR. MICHAEL E MCCORMICK (NPI# 1548204597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548204597 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL E MCCORMICK |
| Credential | M.D. |
| Practice Address |
86 Palmetto Rd Rayville LA 71269-6415 |
| Practice Telephone | 3187282970 |
| Practice Fax Number | 3187287111 |
| Mailing Telephone | 3187282970 |
| Mailing Fax Number | 3187297111 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 12771R | LA | Allopathic & Osteopathic Physicians |
| Y | 2083A0300X | 12771R | LA |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1555380 | 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 |
| 1336161181 | Michael Thomas Mccormick | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-24 |
| 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 |
86 PALMETTO RD |
| City | RAYVILLE |
| State | LA |
| Zip Code | 71269-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005563 | Michael Phillip Ables | Counselor | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2020-08-24 |
| 1629680210 | Hollye Rogers | Counselor | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2020-08-17 |
| 1073732541 | Douglas Wayne Cook | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2007-04-24 |
| 1982794962 | Palmetto Addiction Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1518580901 | Carrie Hendrix Allen | Physical Therapist | 29 Clark Rd, Rayville, LA 71269 | 2020-05-20 |
| 1679056378 | Donnesha Martin | Case Manager/Care Coordinator | 114 Ineichen Street Suite A, Rayville, LA 71269 | 2018-09-10 |
| 1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
| 1205294535 | Patricia S Johnson | Counselor | 114 Ineechen Street, Rayville, LA 71269 | 2016-02-01 |
| 1235423526 | Melissa Sears | Case Manager/Care Coordinator | 114 Ineichen St Ste A, Rayville, LA 71269 | 2011-06-03 |
| 1639484983 | W. Tyler Heath, D.m.d., Family Dentistry A Dent | Dentist | 1107 Louisa Street, Rayville, LA 71269 | 2010-08-11 |
| 1093996969 | Richardson Medical Center School Based Health Clinic | Clinic/Center | 155 Hwy 3048, Rayville, LA 71269 | 2007-11-20 |
| 1477761393 | Cookies Helping Hands | Technician | 1298 Hwy 861, Crowville, LA 71269 | 2007-05-21 |
| Find all providers in zip 71269 | ||||
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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.