DR. JOHN DOUGLAS MCCORMICK JR. (NPI# 1558422642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558422642 |
| Entity Type | Individual |
| Full Name | DR. JOHN DOUGLAS MCCORMICK JR. |
| Credential | MD |
| Practice Address |
210 E. Derenne Avenue Savannah GA 31405 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405 |
| Practice Telephone | 9126445300 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 067503 | GA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | TRN9940 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003124775C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16915 Highway 67 Ste A, Statesboro, GA 304585819 | 9126812500 | 9126812025 |
| 60 Exchange St Ste B1, Richmond Hill, GA 313247646 | 9127562273 | 9127563773 |
| 602 E Long St, Claxton, GA 304175914 | 9127393275 | 9124394011 |
| 8 N Williams St, Metter, GA 304394547 | 9126853550 | 9126853553 |
| 810 Towne Park Dr Ste 200, Rincon, GA 313265167 | 9128262533 | 9128262572 |
| 166 Memorial Dr, Jesup, GA 315450101 | 9124270800 | 9124276029 |
| 101 W Mulberry Blvd, Ste 140, Pooler, GA 31322 | 9127485111 | 9127486699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727894 | John Patrick Mccormick | Massage Therapist | 3152 Valley Wood Ln, Napa, CA 94558-5419 | 2020-10-15 |
| 1619151388 | John R Mccormick | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 960 Chequessett Neck Rd, Wellfleet, MA 02667-3706 | 2007-12-18 |
| 1255543518 | John Richards Mccormick | Psychiatry & Neurology | 224 Ponce Deleon Blvd, De Leon Springs, FL 32130-3375 | 2007-05-07 |
| 1285795617 | John Patrick Mccormick | Psychologist | 162 W 56th St Ste 502, New York, NY 10019-3815 | 2006-12-12 |
| 1407863731 | John F Mccormick | Pathology | 18 Rabbit Run Rd, Rose Valley, PA 19086-6218 | 2006-08-01 |
| 1154360428 | John T Mccormick | Optometrist | 5 Edwards Ave, Damariscotta, ME 04543-4252 | 2006-06-05 |
| 1154824183 | John Fredrick Mccormick | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-15 |
| 1477066926 | John Tucker Mccormick | Physician Assistant | 1200 Old York Rd Ste 2b, Abington, PA 19001-3720 | 2017-11-07 |
| 1548715253 | John Mccormick | Specialist/Technologist, Other | 3100 Monticello Ave, 210, Dallas, TX 75205-3442 | 2016-08-23 |
| 1245784180 | John K Mccormick | Nurse Practitioner | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-08-09 |
| Street Address |
210 E. DERENNE AVENUE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858887 | Markus Niederwanger | Pain Medicine | 210 E. Derenne Avenue, Savannah, GA 31405 | 2005-08-22 |
| 1285879502 | Tattnall Hospital Company, LLC | Occupational Therapist | 210 E. Derenne Avenue, Savannah, GA 31405-6736 | 2008-12-16 |
| 1720014624 | Ray L Wallace Jr. | Physician Assistant | 210 E. Derenne Avenue, Savannah, GA 31405 | 2006-06-23 |
| 1801837083 | Mariangeli M Hamilton | Nurse Practitioner | 210 E. Derenne Avenue, Savannah, GA 81405 | 2006-06-09 |
| 1457320566 | Andrew B Pandya | Physical Medicine & Rehabilitation | 210 E. Derenne Avenue, Savannah, GA 31405 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1497244958 | Savannah Orthopaedic & Spine Institute | Orthopaedic Surgery | 7205 Hodgson Memorial Dr, Savannah, GA 31406-2511 | 2018-05-09 |
| 1245389642 | Mark Anthony Winchell | Orthopaedic Surgery | 11909 Mcauley Dr, Suite 100 A2, Savannah, GA 31419-1793 | 2007-01-09 |
| 1013013101 | Jonathan Michael Shults | Orthopaedic Surgery | 11102 Abercorn St. Ste B., Savannah, GA 31419 | 2006-09-15 |
| 1891717559 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 1326 Eisenhower Drive, Bldg. 1, Savannah, GA 31406-3928 | 2006-07-24 |
| 1477554509 | John T Hodges | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2005-08-10 |
| 1023017555 | Charles Gordon Caldwell | Orthopaedic Surgery | 514 E Bryan St, Savannah, GA 31401-2803 | 2005-07-18 |
| 1982163911 | 2019 Coastal Orthopedics LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-19 |
| 1497288039 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 11702 Mercy Blvd, Ste 2d, Savannah, GA 31419-1750 | 2017-04-11 |
| 1558800979 | Optim Orthopedics LLC | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-02-17 |
| Find all providers in SAVANNAH | ||||
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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.