MOIRA MCCORMACK (NPI# 1437637030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437637030 |
Entity Type | Individual |
Full Name | MOIRA MCCORMACK |
Credential | PA-C |
Practice Address |
11335 Ssg Sims St El Paso TX 79918 |
Mailing Address |
7217 Red Man Dr El Paso TX 79934-3436 |
Practice Telephone | 9157421250 |
Mailing Telephone | 2532276057 |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 1153398 | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11335 SSG SIMS ST |
City | EL PASO |
State | TX |
Zip Code | 79918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316311921 | Roy Richard Camacho | Physical Therapist | 11335 Ssg Sims St, Mendoza Soldier Family Care Clinic, El Paso, TX 79916-5002 | 2015-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952951261 | Brian Jun Hwangpo | Dentist | 21227 Torch St, Biggs Field, TX 79918 | 2019-09-18 |
1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
1598245755 | Jessica Tan | Physical Therapist | 11335 Ssg Sims St., El Paso, TX 79918 | 2018-08-17 |
1447798749 | Richard Emil Stanford Jr. | Physical Therapist | 11335 Ssg Sims, Ft Bliss, TX 79918 | 2017-02-07 |
1952601254 | Sharon Anne Gutierrez | Nurse Practitioner | Bldg. 11335 Ssg Sims St., Biggs Af, Ft Bliss, TX 79918 | 2010-11-02 |
1972737245 | Fawn Ison | Military Health Care Provider | 11319 Ssg Sims St, Fort Bliss, TX 79918 | 2009-05-14 |
1447434782 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Biggs Army Airfield, Bldg 11281, Ft Bliss, TX 79918 | 2007-12-21 |
1063026136 | Matthew John Schloesser | Military Health Care Provider | 11335 Ssg Sims Street, Fort Bliss, TX 79918 | 2020-09-04 |
1952881112 | Benjamin Campbell | Physical Therapist | 11335 Ssg Sims St., Fort Bliss, TX 79918 | 2018-08-17 |
1427543867 | Samantha Anne Good | Military Health Care Provider | 11335 Ssg Sims Street, Fort Bliss, TX 79918 | 2018-06-27 |
Find all providers in zip 79918 |
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 |
---|---|---|---|---|
1598371791 | Miriam Leticia Munoz | Physician Assistant | 646 Mike Carbajal Rd, El Paso, TX 79927-2149 | 2020-09-22 |
1184264541 | Rodrigo Carrasco | Physician Assistant | 7560 Wolf Creek Dr, El Paso, TX 79911-3143 | 2020-01-13 |
1134764558 | Andrea Pilar Stam | Physician Assistant | 5005 N. Piedras Street; Attn, Wbamc, El Paso, TX 79920-5001 | 2019-11-08 |
1326680786 | Lori Evelyn Berumen | Physician Assistant | 7100 Westwind Dr Ste 120, El Paso, TX 79912-1757 | 2019-10-17 |
1609437946 | Ruben Andy Medina | Physician Assistant | 179 Vinson Way, El Paso, TX 79915-4227 | 2019-06-26 |
1790344331 | Alexandra Apodaca | Physician Assistant | 1641 Bessemer Dr, El Paso, TX 79936-5226 | 2019-06-07 |
1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
1023586211 | Erica Guerrero | Physician Assistant | 4801 Alberta Ave Ste B-3200, El Paso, TX 79905-2707 | 2018-11-06 |
1366919391 | Jeffrey Aaron Hobbs | Physician Assistant | 5005 N. Piedras Street, Attn;, Wbamc, El Paso, TX 79920-5001 | 2018-10-29 |
1720580764 | Sungil Hwang | Physician Assistant | 11200 Sean Haggerty Dr Apt 18208, El Paso, TX 79934-3386 | 2018-03-06 |
Find all providers in EL PASO |
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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.