DR. CHARLES ROBERT MCCORMICK (NPI# 1851328991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851328991 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT MCCORMICK |
| Credential | M.D. |
| Practice Address |
1240 W Robinhood Dr Suite G Stockton CA 95207-5507 |
| Practice Telephone | 2094721470 |
| Practice Fax Number | 2094721961 |
| Mailing Telephone | 2094721470 |
| Mailing Fax Number | 2094721961 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G35177 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | AM9043770 | 01 |
| CA | TAX ID | 721556520 | 01 |
| CA | STATE LICENSE | G35177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710462395 | Charles David Mccormick | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2018-09-28 |
| 1215195342 | Charles Patrick Mccormick | Psychiatry & Neurology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2008-05-27 |
| 1104957505 | Charles Robert Mccormick Jr. | Dentist | 100 S Main St, Springboro, OH 45066 | 2007-03-08 |
| 1164482832 | Charles Calvin Mccormick | Family Medicine | 1201 S Miller St, Wenatchee, WA 98801 | 2006-03-25 |
| 1700879830 | Charles Owen Mccormick IIi | Ophthalmology | 30 N Emerson Ave, Greenwood, IN 46143-8895 | 2005-08-24 |
| Street Address |
1240 W ROBINHOOD DR SUITE G |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902229560 | Albert Louie | Dentist | 1240 W Robinhood Dr, Suite D, Stockton, CA 95207-5507 | 2014-01-31 |
| 1619278975 | Melody Ann Tolmie | Music Therapist | 1240 W Robinhood Dr, Suite G, Stockton, CA 95207-5507 | 2010-11-03 |
| 1255642641 | Renu Mathews | Pediatrics | 1240 W Robinhood Dr, Suite G, Stockton, CA 95207-5507 | 2010-06-30 |
| 1811102809 | Annabelle Lagasca Atienza | Dentist | 1240 W Robinhood Dr, Suite C, Stockton, CA 95207-5507 | 2007-05-11 |
| 1154488716 | Tracy V. Nguyen | Dentist | 1240 W Robinhood Dr, Suite B, Stockton, CA 95207-5507 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649496597 | Geny B. Burgos M. D. Inc. | Pediatrics | 1801 E March Ln Ste C340, Stockton, CA 95210-6629 | 2007-04-18 |
| 1164588463 | Beverly Morgan | Pediatrics | 2233 Grand Canal Blvd Ste 105, Stockton, CA 95207-8117 | 2006-12-29 |
| 1427128990 | Kamela Taheri | Pediatrics | 1721 E Hammer Ln, Stockton, CA 95210-4124 | 2006-11-09 |
| 1316025810 | Loan K. Bui-thompson | Pediatrics | 2349 N. California St., Stockton, CA 95204-5505 | 2006-11-01 |
| 1265534416 | Blesilda Palado Esteves | Pediatrics | 75 West March Lane, Ste K, Stockton, CA 95207 | 2006-09-01 |
| 1790799575 | Hilario Sabarillo Esguerra IIi | Pediatrics | 73 W March Lane Suite F, Stockton, CA 95207 | 2006-07-28 |
| 1811918931 | Stockton Pediatric Med. Group, Inc. | Pediatrics | 2349 N California St, Stockton, CA 95204-5505 | 2006-07-22 |
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1154359172 | Bryant Bennett Williams Jr. | Pediatrics | 1339 S Madison St, Stockton, CA 95206-1751 | 2006-06-29 |
| 1114963873 | Shou I Lin | Pediatrics | 75 W March Lane, #g, Stockton, CA 95207-5729 | 2006-06-21 |
| Find all providers in STOCKTON | ||||
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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.