DOUGLAS P MCCORMICK (NPI# 1972576213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972576213 |
| Entity Type | Individual |
| Full Name | DOUGLAS P MCCORMICK |
| Credential | FNP |
| Practice Address |
890 W Faris Rd Suite 520 Greenville SC 29605-4247 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8644559033 |
| Practice Fax Number | 8644556559 |
| Mailing Telephone | 8647976044 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
84 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0409 | 05 | |
| SC | RR MEDICARE | P01044300 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033389366 | Douglas Joe Mccormick | Counselor | 11740 E 21st St, Tulsa, OK 74129-1820 | 2008-03-03 |
| Street Address |
890 W FARIS RD SUITE 520 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680116 | Regina A Franco | Nurse Practitioner | 890 W Faris Rd, Ste 320, Greenville, SC 29605-4253 | 2005-06-21 |
| 1568996130 | Kayla Hauss Smith | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-20 |
| 1508390188 | Lindsay Elizabeth Eller Young | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-20 |
| 1811420367 | Angela Marie Rodi | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-11 |
| 1952834491 | Abigael Lynn Dishler | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2017-04-11 |
| 1609329861 | Prisma Health-upstate | Clinic/Center | 890 W Faris Rd, Suite 560, Greenville, SC 29605-4253 | 2016-07-25 |
| 1376994210 | Dylan Clay Solise | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2016-06-22 |
| 1568812139 | Meredith Leigh Aragon | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2016-06-15 |
| 1447629316 | Maria L Smith | Physician Assistant | 890 W Faris Rd, Suite 100, Greenville, SC 29605-4253 | 2015-09-21 |
| 1710368402 | Amanda Therese Brauss | Obstetrics & Gynecology | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2015-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on DOUGLAS P 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.