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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | A810192 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765789 | Peter J Mccormick | Specialist | 2901 S Lakeview Dr, Cedar Hill, TX 75104-8263 | 2019-08-16 |
| Street Address |
830 SOUTH GLOSTER |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| 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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| 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 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| 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 |
| Find all providers in TUPELO | ||||
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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.