Michael Ellis Mccormick (NPI# 1548204597, PAC ID# 4789739293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1548204597 |
| PAC ID by PECOS | 4789739293 |
| Professional Enrollment ID | I20100818000774 |
| Full Name | Michael Ellis Mccormick |
| Organization Legal Name | WEST MONROE FAMILY CLINIC |
| Address |
1117 Cheniere Drew Rd West Monroe LA 71291-8551 |
| Phone Number | 3183294370 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5799830204 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1117 Cheniere Drew Rd, West Monroe, LA 71291-8551 | 3183294370 | WEST MONROE FAMILY CLINIC |
| 1900 N 7th St, West Monroe, LA 71291-4416 | 3186517000 | WEST MONROE FAMILY CLINIC |
| Organization Legal Name | WEST MONROE FAMILY CLINIC |
| Physicians | 1 |
| Street Address |
1117 CHENIERE DREW RD |
| City | WEST MONROE |
| State | LA |
| Zip | 71291-8551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria T Durkee | Clinical Nurse Specialist | Physician Group of Louisiana Inc | 128 Ridgedale Dr, Suite 1, West Monroe, LA 71291-2017 |
| Kaleb K Deshotel | Chiropractic | 811 Cypress St, West Monroe, LA 71291-2923 | |
| Steven R Crider | Infectious Disease | 405 Stella St A, West Monroe, LA 71291-2968 | |
| Mark S Debord | Clinical Social Worker | 212 Cypress St, West Monroe, LA 71291-3120 | |
| Anna Reardon | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Shandra Winbush | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Justin M. Rawls | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Melanie Massey | Physical Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Anne Colvin | Occupational Therapy | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Lauren A Sledge | Qualified Speech Language Pathologist | Melanie Massey Physical Therapy Inc | 107 Summer Ln, West Monroe, LA 71291-3501 |
| Find all physicians in zip 71291 | |||
| City | WEST MONROE |
| Zip Code | 71291 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WEST MONROE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Michael Ellis Mccormick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.