MARCIA MCCORMICK (NPI# 1447507637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447507637 |
| Entity Type | Individual |
| Full Name | MARCIA MCCORMICK |
| Credential | CRT |
| Practice Address |
512 Beach St Fenton MI 48430-3122 |
| Mailing Address |
607 Thayer St Flint MI 48503-5500 |
| Practice Telephone | 2313987343 |
| Mailing Telephone | 2313987343 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278G1100X |
Respiratory Therapist, Certified Specialization: General Care |
4401004358 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2278H0200X |
Respiratory Therapist, Certified Specialization: Home Health |
4401004358 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2278P1005X |
Respiratory Therapist, Certified Specialization: Pulmonary Rehabilitation |
4401004358 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2278S1500X |
Respiratory Therapist, Certified Specialization: SNF/Subacute Care |
4401004358 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
512 BEACH ST |
| City | FENTON |
| State | MI |
| Zip Code | 48430-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114974391 | Fenton Healthcare LLC | Skilled Nursing Facility | 512 Beach St, Fenton, MI 48430-3122 | 2006-05-31 |
| 1821580317 | Anne Marie Dorland | Occupational Therapist | 512 Beach St, Fenton, MI 48430-3122 | 2018-05-31 |
| 1144723149 | Anna Leigh Koontz | Occupational Therapist | 512 Beach St, Fenton, MI 48430-3122 | 2018-03-15 |
| 1609374685 | Aileen Fullen | Speech-Language Pathologist | 512 Beach St, Fenton, MI 48430-3122 | 2018-01-25 |
| 1922415124 | Julie Techlin | Occupational Therapist | 512 Beach St, Fenton, MI 48430-3122 | 2014-07-20 |
| 1215348958 | Cathy Blondin | Physical Therapy Assistant | 512 Beach St, Fenton, MI 48430-3122 | 2014-05-15 |
| 1184040008 | Cynthia Coleman | Physical Therapy Assistant | 512 Beach St, Fenton, MI 48430-3122 | 2014-03-16 |
| 1851715148 | Megan Teachworth | Physical Therapy Assistant | 512 Beach St, Fenton, MI 48430-3122 | 2014-02-07 |
| 1952741928 | Angela Louise Whitener | Physical Therapy Assistant | 512 Beach St, Fenton, MI 48430-3122 | 2013-07-04 |
| 1346685575 | Kathleen Marie Ellis | Nursing Facility/Intermediate Care Facility | 512 Beach St, Fenton, MI 48430-3122 | 2013-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 2278G1100X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | General Care |
| This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043574858 | Mobile Respiratory and Ancillary LLC | Respiratory Therapist, Certified | 3330 Fullerton St, Detroit, MI 48238-3317 | 2012-06-26 |
Please comment or provide details below to improve the information on MARCIA 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.