KATHLEEN ANN MCCORMICK (NPI# 1427013275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427013275 |
| Entity Type | Individual |
| Full Name | KATHLEEN ANN MCCORMICK |
| Credential | MD |
| Practice Address |
101 Nw 12th Ave Suite 107 Battle Ground WA 98604-9141 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 3606876650 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60125725 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 15379 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RR MEDICARE - PH&S | P01039121 | 01 |
| AZ | 265761 | 05 | |
| OR | 500635744 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992008833 | Kathleen Collins Mccormick | Counselor | 6547 160th St, 2f, Fresh Meadows, NY 11365-2557 | 2010-12-15 |
| 1225164585 | Kathleen Mccormick | Social Worker | 6 Petaluma Blvd N, Suite B4, Petaluma, CA 94952-3050 | 2007-02-23 |
| 1568552867 | Kathleen Ann Mccormick | Social Worker | 26084 Governor Stockley Rd, Georgetown, DE 19947-2566 | 2006-10-15 |
| 1790201259 | Kathleen M Mccormick | Licensed Vocational Nurse | 25402 Pacifica Ave, Mission Viejo, CA 92691 | 2017-08-16 |
| 1972926525 | Kathleen Mccormick | Licensed Practical Nurse | 7 Seafield Ln, Westhampton Beach, NY 11978-2714 | 2014-01-31 |
| 1104168442 | Kathleen Mccormick | Dentist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2013-03-25 |
| Street Address |
101 NW 12TH AVE SUITE 107 |
| City | BATTLE GROUND |
| State | WA |
| Zip Code | 98604-9141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793525 | Coralee Ruth Koning | Physician Assistant | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2005-10-07 |
| 1497310775 | Sara Reid | Nurse Practitioner | 101 Nw 12th Ave, Battle Ground, WA 98604-9141 | 2019-05-02 |
| 1356763619 | Providence Health & Services Oregon | Radiology | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2014-01-06 |
| 1861777914 | Cameron Horch | Optometrist | 101 Nw 12th Ave, Suite 101, Battle Ground, WA 98604-9141 | 2011-10-19 |
| 1205119781 | Providence Health & Services-oregon | Radiologic Technologist | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2011-09-21 |
| 1194013144 | Providence Health & Services - Oregon | Clinic/Center | 101 Nw 12th Ave, Suite 107, Battle Ground, WA 98604-9141 | 2011-07-12 |
| 1912235078 | Watters Vision Care Inc | Optometrist | 101 Nw 12th Ave, Suite 101, Battle Ground, WA 98604-9141 | 2009-12-01 |
| 1184865602 | Brandy C Miles | Specialist | 101 Nw 12th Ave, Ste. 125, Battle Ground, WA 98604-9141 | 2009-03-12 |
| 1679728711 | A Children's Dentist | Dentist | 101 Nw 12th Ave, Suite 130, Battle Ground, WA 98604-9141 | 2008-11-17 |
| 1194918409 | Kirsten A Holmes | Physician Assistant | 101 Nw 12th Ave, Ste 107, Battle Ground, WA 98604-9141 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265421 | David Cotteleer | Physical Therapist | 14109 Ne 258th St, Battle Ground, WA 98604 | 2017-03-06 |
| 1235528936 | Jason Egbert | Optometrist | 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 | 2015-01-18 |
| 1922413632 | Clearwater Escape | Clinic/Center | 118 South Parkway Ave # 215, Battle Ground, WA 98604 | 2014-06-23 |
| 1205171923 | Tiffany Alicia Natland | Massage Therapist | 119 S Parkway Ste 101a, Battle Ground, WA 98604 | 2012-12-06 |
| 1578812004 | Margaret Waddell | Dental Hygienist | 20516 Ne 101st Ct, Battle Ground, WA 98604 | 2012-08-30 |
| 1558678938 | Penny Marie Pastori | Pharmacist | 1201 Sw 13th Ave, Battle Ground, WA 98604 | 2010-09-08 |
| 1992026355 | Corey Michael Bretting | Massage Therapist | 614 East Main Street, Battle Ground, WA 98604 | 2010-06-18 |
| 1407009350 | Anna Lee Dunn | Massage Therapist | 309 N.e 1st St, Battle Ground, WA 98604 | 2008-10-23 |
| 1235393166 | Above Beyond Dentistry and Implants | Dentist | 1908 Nw 1st Way Suite 105, Battle Ground, WA 98604 | 2008-07-10 |
| 1770769150 | Jacqueline Siy Tan | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604 | 2008-01-15 |
| Find all providers in zip 98604 | ||||
| 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 |
|---|---|---|---|---|
| 1770769150 | Jacqueline Siy Tan | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604 | 2008-01-15 |
| 1225241177 | Manuel R. Galaviz | Family Medicine | 1706 W Main St Ste 113, Battle Ground, WA 98604-4320 | 2007-05-08 |
| 1558318626 | Eric Doerfler | Family Medicine | 2005 W Main St, Battle Ground, WA 98604-4311 | 2006-05-27 |
| 1720034242 | Wanda Juarros Hanlon | Family Medicine | 18 Nw 20th Ave Ste 101, Battle Ground, WA 98604-4175 | 2006-05-26 |
| 1639523723 | Patient Direct Care | Family Medicine | 209 E Main St, Suite 121, Battle Ground, WA 98604-4523 | 2016-04-14 |
| 1962877423 | Sea-mar Community Health Center | Family Medicine | 118 S Parkway Ave, Battle Ground, WA 98604-9215 | 2015-12-09 |
| 1780071993 | Kalpana Prabuddhika Katudeniya | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604-4311 | 2015-04-26 |
| 1831530195 | Nelya Yuriyevna Pavlenko | Family Medicine | 2005 W Main St, Suite 110, Battle Ground, WA 98604-4311 | 2013-07-15 |
| 1992014385 | Margie Uy Apacible | Family Medicine | 720 W Main St, Suite 115, Battle Ground, WA 98604-4406 | 2010-10-01 |
| 1790090611 | Gerard Victor Arceo Sebastian | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604-4311 | 2010-08-16 |
| Find all providers in BATTLE GROUND | ||||
| City | BATTLE GROUND |
| Zip Code | 98604 |
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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.