MICHAEL PATRICK MCCORMACK (NPI# 1922135136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922135136 |
| Entity Type | Individual |
| Full Name | MICHAEL PATRICK MCCORMACK |
| Credential | DO |
| Practice Address |
1330 Mercy Dr Nw Suite 522 Canton OH 44708-2626 |
| Practice Telephone | 3305884856 |
| Practice Fax Number | 3305884857 |
| Mailing Telephone | 3305884856 |
| Mailing Fax Number | 3305884857 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 34.009124 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | P00935266 | 01 |
| OH | 2955128 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200827 | Michael David Mccormack | Hearing Instrument Specialist | 4016 N Prospect Road, Peoria, IL 61614 | 2010-07-19 |
| 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 |
| 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 |
1330 MERCY DR NW SUITE 522 |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930946 | Mark Carless Stachel | Internal Medicine | 1330 Mercy Dr Nw, Ste 318, Canton, OH 44708-2624 | 2005-05-27 |
| 1407305402 | Lindsay Anne Haupt | Nurse Practitioner | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2016-10-02 |
| 1902261944 | Laurie Jean Fitzgibbon | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 418, Canton, OH 44708-2626 | 2015-12-17 |
| 1235502303 | Amanda Michelle Johnson | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2015-11-11 |
| 1245493477 | Heather B Lee | Physician Assistant | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2008-07-08 |
| 1992980783 | Mazin Shackour | Surgery | 1330 Mercy Dr Nw, Suite 420, Canton, OH 44708-2626 | 2007-12-31 |
| 1649450669 | Simonette Carol Jones | Internal Medicine | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2007-11-07 |
| 1649468240 | Stark Cardiothoracic Surgery, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1330 Mercy Dr Nw, Suite 410, Canton, OH 44708-2626 | 2007-10-09 |
| 1942414313 | Meena Rajan | Internal Medicine | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2007-05-09 |
| 1437201985 | Pulmonology Critical Care Physicians Inc. | Specialist | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2007-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801989553 | Mohamad Bazzi M D P C | Plastic Surgery | 42680 Ford Rd., Canton, MI 48187 | 2006-10-02 |
| 1972535300 | Zaheer A Shah | Plastic Surgery | 4665 Douglas Circle Nw, Suite 103, Canton, OH 44718-3673 | 2006-07-07 |
| 1497781447 | Mohamad Hassan Bazzi | Plastic Surgery | 42680 Ford Rd, Canton, MI 48187-3338 | 2006-06-23 |
| 1023084167 | Nr Chandrasekar | Plastic Surgery | 25 Colts Xing, Canton, MA 02021-1367 | 2006-02-28 |
| 1306192794 | Zaheer A Shah Md Inc | Plastic Surgery | 4665 Douglas Cir Nw, Suite 103, Canton, OH 44718-3673 | 2012-08-03 |
| 1962792515 | Shayda Mirhaidari | Plastic Surgery | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2011-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672439 | Stratus Plastic Surgery LLC | Plastic Surgery | 7227 N High St Ste 256, Worthington, OH 43085-2575 | 2019-10-30 |
| 1467910737 | Sarkos Plastic Surgery LLC | Plastic Surgery | 2662 Elm Rd Bldg C, Cortland, OH 44410-9393 | 2019-03-06 |
| 1710454368 | Surfield Plastic Surgery, LLC | Plastic Surgery | 701 Tyler St Ste 301, Sandusky, OH 44870-3321 | 2018-10-31 |
| 1376931105 | Jacob Keith Crittenden IIi | Plastic Surgery | 621 Tusculum Ave, Cincinnati, OH 45226-1771 | 2015-01-01 |
| 1689910184 | Thomas Eades Shaw | Plastic Surgery | 3480 Roundwood Rd, Chagrin Falls, OH 44022-6636 | 2013-01-02 |
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1427312123 | Carmen Paradis | Plastic Surgery | 10311 Bartholomew Rd, Chagrin Falls, OH 44023-2303 | 2012-06-27 |
| 1639455546 | Mehmet Bozkurt | Plastic Surgery | Cleveland Clinic 9500 Euclid Avenue A60, Cleveland, OH 44195-0001 | 2011-10-25 |
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
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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.