MR. MICHAEL H MCCORMICK (NPI# 1982677936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982677936 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL H MCCORMICK |
| Credential | M.D. |
| Practice Address |
2202 State Ave Suite 300 Panama City FL 32405-7601 |
| Practice Telephone | 8507692417 |
| Practice Fax Number | 8507841144 |
| Mailing Telephone | 8507692417 |
| Mailing Fax Number | 8507841144 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0051595 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CHAMPUS/TRICARE | 593125723-A002 | 01 |
| FL | RAILROAD MEDICARE | 200012815 | 01 |
| FL | 058854700 | 05 | |
| FL | BLUE SHIELD | 14798 | 01 |
| FL | MEDICARE GRP NPI # | 1811917628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018176 | Michael Patrick Mccormick | Physician Assistant | 76 Scott Cir, Dedham, MA 02026-6423 | 2020-09-22 |
| 1356710636 | Michael Mccormick | Physical Therapist | 5141 E. I-20, Service Road North, Willow Park, TX 76087 | 2015-09-17 |
| 1225295074 | Michael Vincent Mccormick II | Counselor | 720 South B St, Bldg# M-1 M-2, San Mateo, CA 94401 | 2008-05-20 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1780796177 | Michael Sean Mccormick | Dentist | 33 Center St, East Aurora, NY 14052-2244 | 2006-08-31 |
| 1336161181 | Michael Thomas Mccormick | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-24 |
| 1548204597 | Michael E Mccormick | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2006-06-16 |
| 1245279710 | Michael Cooper Mccormick | Dentist | 2015 Wilmington Rd, New Castle, PA 16105-1928 | 2006-06-06 |
| 1992753586 | Michael S Mccormick | Social Worker | 1129 Fall River Cir, Longmont, CO 80504-8770 | 2006-05-05 |
| 1235103938 | Michael A Mccormick | Surgery | 107 Town Center Rd, King of Prussia, PA 19406-2330 | 2006-02-17 |
| Street Address |
2202 STATE AVE SUITE 300 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357006 | Mariusz Jerzy Klin | Internal Medicine | 2202 State Ave, Suite 301, Panama City, FL 32405-7601 | 2005-06-27 |
| 1750822797 | Ashley Leb | Nurse Practitioner | 2202 State Ave, Suite 303, Panama City, FL 32405-7601 | 2017-03-09 |
| 1184173338 | Panhandle Surgical Services | Surgery | 2202 State Ave, Ste 104, Panama City, FL 32405-7601 | 2016-09-29 |
| 1578991212 | North Florida Perinatal Associates, Inc | Obstetrics & Gynecology | 2202 State Ave, Suite 103, Panama City, FL 32405-4590 | 2013-10-16 |
| 1861765943 | George J Walters Dds Pa | Oral & Maxillofacial Surgery | 2202 State Ave, Suite 200, Panama City, FL 32405-7601 | 2012-02-20 |
| 1295023802 | Charnett Carroll | Nurse Practitioner | 2202 State Ave, Suite 201, Panama City, FL 32405-7601 | 2011-07-16 |
| 1619261252 | Khurram Nazir | Psychiatry & Neurology | 2202 State Ave, Suite 201, Panama City, FL 32405-7601 | 2011-05-31 |
| 1528213394 | John Beasley Thomas Iv | Emergency Medicine | 2202 State Ave, Suite 104, Panama City, FL 32405-7601 | 2008-11-20 |
| 1508021684 | Mariusz J Klin M D P A | Internal Medicine | 2202 State Ave, Suite 301, Panama City, FL 32405-7601 | 2008-07-28 |
| 1154528693 | Don Allen Davis | Internal Medicine | 2202 State Ave, Suite 303, Panama City, FL 32405-7601 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250150 | Bonita Gaye Kingsteinkamp | Specialist | 1713 Beck Ave, Suite B, Panama City, FL 32405-2566 | 2015-03-21 |
| 1396049268 | Freda Marie Edwards | Specialist | 2425 Ormond Ave., Panama City, FL 32405 | 2011-01-06 |
| 1720382179 | Tanya Marie Nance | Specialist | 703 Williams Ave, Panama City, FL 32401-4225 | 2010-12-28 |
| 1659674380 | Sharlene Rhaetta Humphrey | Specialist | 520 E 9th St, Panama City, FL 32401-2968 | 2010-12-20 |
| 1912185323 | Amanda Dean Sims | Specialist | 2001 Wilson Ave, Panama City, FL 32405-4532 | 2008-02-07 |
| 1255529772 | Coastal Allergy & Asthma P.a. | Specialist | 3228 East 15th Street, Panama City, FL 32405 | 2007-10-10 |
| 1558558171 | Amir Manzoor, Md, Pa | Specialist | 237 E Baldwin Rd, #103, Panama City, FL 32405-4205 | 2007-09-27 |
| 1649466137 | Panama City General Surgery Pa | Specialist | 806 E 6th St, Panama City, FL 32401-3620 | 2007-09-19 |
| 1114148996 | William W Dent Mdpa | Specialist | 801 E 6th St Ste 201, Panama City, FL 32401-3667 | 2007-05-01 |
| 1942327127 | Terri Joyce Lawson | Specialist | 216 Forest Park Cir, Panama City, FL 32405-4915 | 2007-03-23 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on MR. MICHAEL H 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.