MICHAEL T. MCCORMICK & ASSOCIATES PA (NPI# 1710104583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710104583 |
| Entity Type | Organization |
| Organization Name | MICHAEL T. MCCORMICK & ASSOCIATES PA |
| Practice Address |
115 Shamrock Blvd Venice FL 34293-1630 |
| Mailing Address |
115 Shamrock Blvd. Venice FL 34293-1630 |
| Practice Telephone | 9414938666 |
| Practice Fax Number | 9414975411 |
| Mailing Telephone | 9414938666 |
| Mailing Fax Number | 9414975411 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | LAURA MARIE MCCORMICK (VICE PRESIDENT) |
| Authorized Official Telephone | 9414938666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO-0001705 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
115 SHAMROCK BLVD |
| City | VENICE |
| State | FL |
| Zip Code | 34293-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336161181 | Michael Thomas Mccormick | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-24 |
| 1932581931 | Daniel London | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293 | 2015-06-25 |
| 1003167206 | Barbara Marie Buckley | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2012-09-27 |
| 1679673123 | Roy Clint Laird | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-09-25 |
| 1780607978 | Boyd Allan Robinson | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714805 | Venice Podiatry Pllc | Podiatrist | 411 Commercial Ct Ste G, Venice, FL 34292-1650 | 2017-08-01 |
| 1235323650 | Podiatry Associates of Venice and Englewood | Podiatrist | 400 Tamiami Trl S Ste 200, Venice, FL 34285-2624 | 2007-08-29 |
| 1215955406 | Charles A Suleskey | Podiatrist | 1832 Tamiami Trl S, Venice, FL 34293-3127 | 2006-07-17 |
| 1164425815 | Michael H Katz | Podiatrist | 400 Tamiami Trl S, Ste 200, Venice, FL 34285-2624 | 2005-05-25 |
| 1053795237 | Jeremy Bonjorno | Podiatrist | 712 The Rialto, Venice, FL 34285 | 2015-07-17 |
| 1932581931 | Daniel London | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293 | 2015-06-25 |
| 1003167206 | Barbara Marie Buckley | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2012-09-27 |
| 1518141654 | Charles A Suleskey Dpm Pa | Podiatrist | 1832 Tamiami Trl S, Venice, FL 34293-3127 | 2007-12-26 |
| 1841279486 | Michael R Gallina | Podiatrist | 400 Tamiami Trl S, Suite 200, Venice, FL 34285-2614 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
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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.