Kevin Mccormick (NPI# 1114917234, PAC ID# 7113053935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114917234 |
| PAC ID by PECOS | 7113053935 |
| Professional Enrollment ID | I20100331000947 |
| Full Name | Kevin Mccormick |
| Organization Legal Name | TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND |
| Address |
2150 Bleecker St Utica NY 13501-1738 |
| Phone Number | 3157984811 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779575147 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 2150 Bleecker St, Utica, NY 13501-1738 | 3157984811 | TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND |
| Organization Legal Name | TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elif N Erim | Geriatric Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Florin G Olteanu | Internal Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Street Address |
2150 BLEECKER ST |
| City | UTICA |
| State | NY |
| Zip | 13501-1738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elif N Erim | Geriatric Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Florin G Olteanu | Internal Medicine | Trustees of The Masonic Hall and Asylum Fund | 2150 Bleecker St, Utica, NY 13501-1738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Dziok | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Patricia A Roach | Nurse Practitioner | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Gordan B Dunham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Lora A Abraham | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Jayaraju P Raju | Psychiatry | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Annette L Edwards | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Wallis E Patulski | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Sylvia A. Redmond | Nurse Practitioner | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Joanne G Mcpherson | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Kristin R Lints | Clinical Social Worker | Upstate Cerebral Palsy Inc | 1020 Mary St, Utica, NY 13501-1930 |
| Find all physicians in zip 13501 | |||
| City | UTICA |
| Zip Code | 13501 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | UTICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kevin 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.