1972566644 NPI number — DR. JAMES MCCORMICK DPM

Table of content: DR. JAMES MCCORMICK DPM (NPI 1972566644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972566644 NPI number — DR. JAMES MCCORMICK DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCORMICK
Provider First Name:
JAMES
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972566644
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 SALT POND RD
Provider Second Line Business Mailing Address:
UNIT E1
Provider Business Mailing Address City Name:
WAKEFIELD
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02879-4314
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-783-2424
Provider Business Mailing Address Fax Number:
401-789-2095

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 SALT POND RD
Provider Second Line Business Practice Location Address:
UNIT E1
Provider Business Practice Location Address City Name:
WAKEFIELD
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02879-4314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-783-2424
Provider Business Practice Location Address Fax Number:
401-789-2095
Provider Enumeration Date:
04/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213ES0131X , with the licence number:  DPM00281 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 400540 . This is a "BLUE CHIP GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9146868001 . This is a "CIGNA GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 400540 . This is a "BLUE CHIP RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: PT SSN # . This is a "TRI CARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000031649 . This is a "BCBC OF RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1358850 . This is a "AETNA HMO" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 204928511 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 480020466 . This is a "GENERIC7" identifier . This identifiers is of the category "OTHER".
  • Identifier: AA69500 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1164100001 . This is a "GENERIC6" identifier . This identifiers is of the category "OTHER".
  • Identifier: 580173 . This is a "GENERIC3 GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 583173 . This is a "GENERIC3" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7008235 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 164100001 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5807131 . This is a "AETNA COMMERCIAL" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000007213 . This is a "GENERIC4 GROUP NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9146868001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2944 . This is a "NEIGHBORHOOD HEALTH PLANS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com