DR. SUSAN POTTER MCCORMICK (NPI# 1194381459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194381459 |
| Entity Type | Individual |
| Full Name | DR. SUSAN POTTER MCCORMICK |
| Credential | PA-C |
| Practice Address |
123 Medical Park Ln Ste A Huntsville TX 77340-4981 |
| Mailing Address |
955 Mcleod Dr Huntsville TX 77320-7027 |
| Practice Telephone | 9362958000 |
| Mailing Telephone | 9794807796 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01362 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376912105 | Susan Mccormick | Technician, Other | 2900 Arborview Dr, #7, Traverse City, MI 49685-7359 | 2015-09-23 |
| 1124445754 | Susan Mccormick | Early Intervention Provider Agency | 1875 Vincent Ave, Watsontown, PA 17777-8411 | 2014-03-20 |
| 1558366336 | Susan Samantha Mccormick | Nurse Practitioner | 1900 S Tuttle Ave, Sarasota, FL 34239-3114 | 2005-06-17 |
| 1073060984 | Susan Mccarty Mccormick | Marriage & Family Therapist | 24600 Millstream Dr, Suite 340, Stone Ridge, VA 20105-5685 | 2016-09-08 |
| 1891902334 | Susan M Mccormick | Pharmacy Technician | 160 Tower Dr, Burr Ridge, IL 60527-5720 | 2007-05-16 |
| 1174611420 | Susan Erin Mccormick | Internal Medicine | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-10-11 |
| Street Address |
123 MEDICAL PARK LN STE A |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167390 | Isnardo E Tremor | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
| 1366855470 | Lane Aiena | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2014-06-05 |
| 1700939311 | Mary Rosenquist | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2007-01-18 |
| 1184797847 | Shao-jen Chang | Internal Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2006-11-17 |
| 1871535559 | Huntsville Family Medicine, LLP | Clinic/Center | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2006-06-10 |
| 1578511275 | Kerri Cravey | Nurse Practitioner | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2006-05-04 |
| 1982602793 | David P Knuth | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
| 1497753206 | Lawrence H Wells | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
| 1710985536 | Robert Fernandez | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1144880774 | Anna Summerford | Physician Assistant | 7738b Madison Blvd, Huntsville, AL 35806-3659 | 2019-06-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| 1891154894 | Nicolaus D Ruehl | Physician Assistant | 1963 Memorial Pkwy Sw Ste 24, Huntsville, AL 35801-5035 | 2016-02-18 |
| 1992194294 | Jacob Downey Dobbs | Physician Assistant | 13310 S Village Square Rd Se, Huntsville, AL 35803-3813 | 2015-01-09 |
| 1639575939 | Joseph Curry | Physician Assistant | 21 Fm 247 Rd, Huntsville, TX 77320-8701 | 2014-11-13 |
| 1164705513 | Besstina Lyles | Physician Assistant | 2227 Drake Ave Sw Ste 26, Huntsville, AL 35805-5146 | 2011-09-22 |
| 1174833107 | Whitaker Medical | Physician Assistant | 525 Madison St Se, Suite 203, Huntsville, AL 35801-4268 | 2010-10-08 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1730273673 | Mindy Smith Wilson | Physician Assistant | 1404 Toney Dr Se, Huntsville, AL 35802-1231 | 2006-10-03 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on DR. SUSAN POTTER MCCORMICK.
| 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.