PETER MICHAEL MCCORMICK


Address: 830 South Gloster, Tupelo, MS 38801
Phone: 6623774394

PETER MICHAEL MCCORMICK (NPI# 1770505356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770505356
Entity Type Individual
Full Name PETER MICHAEL MCCORMICK
Credential CRNA
Practice Address 830 South Gloster
Tupelo
MS 38801
Mailing Address Po Box 3294
Tupelo
MS 38803-3294
Practice Telephone 6623774394
Practice Fax Number 6623777045
Mailing Telephone 6623774394
Mailing Fax Number 6623777045
Enumeration Date 2006-07-24
Last Update Date 2010-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered A810192 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers PETER MCCORMICK

NPI Name Taxonomy Address Enumeration
1033765789 Peter J Mccormick Specialist 2901 S Lakeview Dr, Cedar Hill, TX 75104-8263 2019-08-16

Office Location

Street Address 830 SOUTH GLOSTER
City TUPELO
State MS
Zip Code 38801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558390443 Tupelo Anesthesia Group Pa Anesthesiology 830 South Gloster, Tupelo, MS 38801 2006-07-02
1003165960 Sarah Cotton Ashmore Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801-4934 2012-09-06
1649450602 Raymond P Boykin Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2007-11-07
1710176532 Amanda H Bagwell Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2007-10-17
1144419987 Greg R Parham Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2007-10-17
1700075520 Angie M Littlejohn Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2007-10-17
1972792794 Julie P Willard Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2007-10-17
1033248703 Shannon D Barber Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2007-03-05
1194808279 James C Brand Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2006-10-23
1942383492 David J Chisholm Nurse Anesthetist, Certified Registered 830 South Gloster, Tupelo, MS 38801 2006-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528236890 David A Vance Nurse Anesthetist, Certified Registered 830 South Glaster, Tupelo, MS 38801 2008-02-20
1598858383 Paul M. Baker Nurse Anesthetist, Certified Registered 2015 Van St, Tupelo, MS 38804-1043 2006-10-02
1962518373 Debbie E Kelley Nurse Anesthetist, Certified Registered 589 Garfield Street, Tupelo, MS 38801 2006-08-21
1417974908 Mimi Cleveland Breedlove Nurse Anesthetist, Certified Registered 830 S Gloster, Tupelo, MS 38801 2006-07-17
1750309191 Lewis T Rogers Nurse Anesthetist, Certified Registered 830 South Gloster St, Tupelo, MS 38801 2006-07-17
1265031561 Lauren Hester Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-19
1972102275 Matthew Hester Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-19
1457958282 Benjamin Johnson Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-05
1205443348 Robert Adams Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-23
1538775317 Andrew Ballard Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-17
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City TUPELO
Zip Code 38801

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Dataset Information

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.

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