DR. MARIE MONIQUE MCCORMACK (NPI# 1033178637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033178637 |
| Entity Type | Individual |
| Full Name | DR. MARIE MONIQUE MCCORMACK |
| Other Name | MARIE M FORRED |
| Credential | MD |
| Practice Address |
10085 Double R Blvd Ste 220 Reno NV 89521-3855 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9936 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11041134 | 01 |
| Street Address |
10085 DOUBLE R BLVD STE 220 |
| City | RENO |
| State | NV |
| Zip Code | 89521-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205358785 | Rachel Lynn Benson | Family Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2017-07-17 |
| 1790191955 | Katherine Thyssen | Internal Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2014-07-09 |
| 1144540709 | Radmila Mikan Savcic Kos | Internal Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2010-06-07 |
| 1083880512 | Heather Amanda Baxter | Internal Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2008-05-05 |
| 1124035910 | Matthew Wiese | Physician Assistant | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303762 | Chelsey Marie Miller | Family Medicine | 197 Damonte Ranch Pkwy, Reno, NV 89521-1908 | 2020-10-14 |
| 1568079804 | Natalie Irene Bernard | Family Medicine | 7610 Tamra Dr, Reno, NV 89506-6731 | 2020-09-30 |
| 1669089983 | Helena Class-alexander Arpn LLC | Family Medicine | 1905 California Ave, Reno, NV 89509-2369 | 2020-09-30 |
| 1427609247 | Lindsey A Butcher | Family Medicine | 1905 Horse Prairie Rd, Reno, NV 89521-4361 | 2019-09-23 |
| 1821641937 | Alm Family Practice | Family Medicine | 1895 Plumas St Ste 6, Reno, NV 89509-3384 | 2019-07-17 |
| 1790236180 | Medtrans Reno Casal, Pllc | Family Medicine | 890 Mill St Fl 4, Reno, NV 89502 | 2016-10-20 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1760843668 | Karen Thiele | Family Medicine | Brigham Bldg 316unsom, Reno, NV 89557-0169 | 2016-03-19 |
| 1538586417 | Katelyn Bruner | Family Medicine | Renown Medical Group Caughlin, 4796 Caughlin Pkwy #108, Reno, NV 89519-0907 | 2014-03-28 |
| 1023372349 | Alejandro De La Parra Landa | Family Medicine | 1664 N Virginia Street Ms 316 Brigham Bldg, Reno, NV 89557-0001 | 2012-07-02 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on DR. MARIE MONIQUE MCCORMACK.
| 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.