CHARLES DAVID MCCORMICK (NPI# 1710462395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710462395 |
| Entity Type | Individual |
| Full Name | CHARLES DAVID MCCORMICK |
| Credential | APRN |
| Practice Address |
399 Diederich Blvd Ashland KY 41101-7007 |
| Mailing Address |
Po Box 1595 Ashland KY 41105-1595 |
| Practice Telephone | 6063248060 |
| Practice Fax Number | 6063256889 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012698 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN79987NO | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851328991 | Charles Robert Mccormick | Pediatrics | 1240 W Robinhood Dr, Suite G, Stockton, CA 95207-5507 | 2006-06-26 |
| 1215195342 | Charles Patrick Mccormick | Psychiatry & Neurology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2008-05-27 |
| 1104957505 | Charles Robert Mccormick Jr. | Dentist | 100 S Main St, Springboro, OH 45066 | 2007-03-08 |
| 1164482832 | Charles Calvin Mccormick | Family Medicine | 1201 S Miller St, Wenatchee, WA 98801 | 2006-03-25 |
| 1700879830 | Charles Owen Mccormick IIi | Ophthalmology | 30 N Emerson Ave, Greenwood, IN 46143-8895 | 2005-08-24 |
| Street Address |
399 DIEDERICH BLVD |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470258 | Luther Daniel Hall | Family Medicine | 399 Diederich Blvd, Ashland, KY 41101 | 2005-07-08 |
| 1619594785 | Ashalnd Hospital Corporation | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2020-07-06 |
| 1396387007 | Katharine Celeste Bartram | Registered Nurse | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2019-10-14 |
| 1720522493 | Susan Ruby Sammons | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2016-12-14 |
| 1033666524 | Rita Nicole Fletcher | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2016-09-01 |
| 1811270010 | Kings Daughters Medical Specialties Inc | Family Medicine | 399 Diederich Blvd, Ashland, KY 41101 | 2011-09-23 |
| 1427146562 | John Glenn Clay | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123519 | Daniel Purtell | Nurse Practitioner | 10 Slash Ct, Ashland, VA 23005-2170 | 2020-08-07 |
| 1942819974 | Nicholas Heith Elliott | Nurse Practitioner | 40 Winborn Ave, Ashland, MS 38603-6631 | 2020-07-27 |
| 1942836382 | Timothy Browning | Nurse Practitioner | 100 Laurel Ct, Ashland, KY 41101-2194 | 2020-03-17 |
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1811520190 | Heidi Barnes | Nurse Practitioner | 6628 Us Route 60, Ashland, KY 41102-9529 | 2020-02-14 |
| 1982235016 | Anna Layne Salow | Nurse Practitioner | 2302 Moore St, Ashland, KY 41101-3821 | 2020-01-28 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1295245207 | Christine Michelle Meeting | Nurse Practitioner | 1251 Township Road 1253, Ashland, OH 44805-4606 | 2017-10-04 |
| 1144739384 | Lindsay Robbins Culver | Nurse Practitioner | 635 N Wasington Highway, Ashland, VA 23005-1463 | 2017-09-20 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| Find all providers in ASHLAND | ||||
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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.