GREG WILLIAM MCCORMACK


Address: 20911 Sunset Lndg, Frederic, WI 54837-9055
Phone: 7153278045

GREG WILLIAM MCCORMACK (NPI# 1861750788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861750788
Entity Type Individual
Full Name GREG WILLIAM MCCORMACK
Credential M.D.
Practice Address 20911 Sunset Lndg
Frederic
WI 54837-9055
Practice Telephone 7153278045
Mailing Telephone 7153278045
Enumeration Date 2012-04-28
Last Update Date 2012-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
47030-20 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA AM7888564 01

Office Location

Street Address 20911 SUNSET LNDG
City FREDERIC
State WI
Zip Code 54837-9055

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1548639636 Austin Ross Pharmacist 201 Oak St West, Frederic, WI 54837 2015-09-18
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1639263221 Pharmacy Operations Inc Pharmacy 110 E Oak Street, Frederic, WI 54837 2006-10-03
1457338139 Joseph L Marek Chiropractor 101 United Way, Frederic, WI 54837 2005-12-23
1669572590 Steven Richard Tesch Dentist 106 S Wisconsin Ave, Frederic, WI 54837-0250 2006-09-22
1306946223 Bradley Scott Harlander Dentist 106 S Wisconsin Ave, Frederic, WI 54837-0250 2006-09-22
1689004426 Kristina M Thompson Social Worker 107 Hope Road West, Frederic, WI 54837-0383 2013-11-14
1588158679 Hope Road Wellness Center, LLC Social Worker 107 Hope Road West, Frederic, WI 54837-0383 2018-06-21
1043499734 School District of Frederic Local Education Agency (LEA) 1437 Clam Falls Dr, Frederic, WI 54837-4547 2007-10-30
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053447672 James D Mcgovern Internal Medicine 3669 Point Ln, Green Bay, WI 54311-9766 2007-02-26
1467413591 Francis J Cuevas Internal Medicine 7410 W Rawson Avenue, Franklin, WI 53132-8274 2006-03-29
1578530705 Michael E Eastman Internal Medicine 250 Doctors Ct, Johnson Creek, WI 53038-9451 2006-03-07
1972570224 Paul J. Lemarbre Internal Medicine W359n7430 Brown St, Oconomowoc, WI 53066-1120 2006-03-07
1164403226 Michael W Jones Internal Medicine 480 E Division St, Fond Du Lac, WI 54935-3734 2005-11-07
1649278870 Shahid Shekhani Internal Medicine 1000 Mineral Point Ave, Janesville, WI 53548-2940 2005-07-12
1982081436 Ashanda Esdaille Internal Medicine 600 Highland Ave, Madison, WI 53792-2012 2015-05-05
1609276500 Agnes Smaradottir Internal Medicine 1836 South Ave, La Crosse, WI 54601-5429 2014-08-27
1477819902 Sheboygan Physicians Group, Sc Internal Medicine 2920 Superior Ave, Sheboygan, WI 53081-1944 2012-04-10
1265726970 Brooke Dawn Nicole Esteves Internal Medicine 3100 Shore Dr, Marinette, WI 54143-4242 2011-05-31
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Competitor

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City FREDERIC
Zip Code 54837

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Dataset Information

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.

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