MR. MICHAEL DAVID MCCORMACK (NPI# 1811200827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811200827 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DAVID MCCORMACK |
| Credential | AUDIOLOGIST H.I.S. |
| Practice Address |
4016 N Prospect Road Peoria IL 61614 |
| Mailing Address |
4016 N Prospect Rd Peoria IL 61614-7749 |
| Practice Telephone | 3096927697 |
| Mailing Telephone | 3096927697 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237700000X | Hearing Instrument Specialist | 1230 | WI | Speech, Language and Hearing Service Providers |
| Y | 237700000X | Hearing Instrument Specialist | 2920 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730192394 | Michael Patrick Mccormack | Dentist | 1700 Summit Ave, Red Oak, IA 51566 | 2006-08-14 |
| 1750878666 | Michael James Mccormack | Student in an Organized Health Care Education/Training Program | 2200 Childrens Way, Nashville, TN 37232-0005 | 2018-04-16 |
| 1710304670 | Michael Sean Mccormack | Surgery | 9650 Gross Point Rd Ste 3900, Skokie, IL 60076-5085 | 2014-03-27 |
| 1003179045 | Michael Joseph Mccormack Jr. | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-5103 | 2012-06-22 |
| 1891007225 | Michael Shawn Mccormack | Dentist | 26 W Dry Creek Cir, Suite 430, Littleton, CO 80120-8063 | 2010-07-14 |
| 1003069238 | Michael T Mccormack | Speech-Language Pathologist | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2008-10-31 |
| 1144431917 | Michael F Mccormack | Emergency Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-05-24 |
| 1922135136 | Michael Patrick Mccormack | Plastic Surgery | 1330 Mercy Dr Nw, Suite 522, Canton, OH 44708-2626 | 2007-02-27 |
| 1104998814 | Michael Kevin Mccormack | Medical Genetics, Ph.D. Medical Genetics | 42 E Laurel Rd, Suite 3600, Stratford, NJ 08084-1354 | 2006-11-15 |
| 1114934676 | Michael Timothy Mccormack | Internal Medicine | 1940 Alcoa Hwy, Suite E-210, Knoxville, TN 37920-2244 | 2006-08-01 |
| Street Address |
4016 N PROSPECT ROAD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679000772 | Kyle Mcclintock | Hearing Instrument Specialist | 7800 N Sommer St Ste 305, Peoria, IL 61615-1994 | 2017-05-19 |
| 1770984122 | Clear Choice Hearing Solutions, LLC | Hearing Instrument Specialist | 7717 W Deer Valley Rd Ste 130, Peoria, AZ 85382-2102 | 2014-09-04 |
| 1679827315 | Derrick Heflin | Hearing Instrument Specialist | 5401 N Knoxville Ave Ste 116, Peoria, IL 61614-5011 | 2012-11-02 |
| 1386992618 | Carrie Marie Pavell | Hearing Instrument Specialist | 9451 N 99th Ave, Suite 1, Peoria, AZ 85345-6999 | 2012-08-16 |
| 1548516750 | Lyndsey Kay Buchanan | Hearing Instrument Specialist | 9133 W Thunderbird Rd, Peoria, Peoria, AZ 85381-4267 | 2012-07-25 |
| 1184893240 | Paul Mulholland | Hearing Instrument Specialist | 3809 N Sterling Ave, Suite 107, Peoria, IL 61615-4246 | 2008-02-22 |
| 1841493947 | Maryvale Hearing Aid Center Inc | Hearing Instrument Specialist | 11361 N 99th Ave Ste 105, Peoria, AZ 85345-5469 | 2007-06-06 |
| 1538796610 | Ramon Manuel Huerta | Hearing Instrument Specialist | 4627 N University St, Peoria, IL 61614-5828 | 2020-03-26 |
| 1558839035 | Heart of Illinois Hearing LLC | Hearing Instrument Specialist | 5401 N Knoxville Ave Ste 116, Peoria, IL 61614-5011 | 2018-11-02 |
| 1346671054 | Kelli Barisch | Hearing Instrument Specialist | 4704 N Sheridan Rd, Peoria, IL 61614-5926 | 2013-12-05 |
| Find all providers in PEORIA | ||||
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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.