Healthcare Provider Details

I. General information

NPI: 1205774361
Provider Name (Legal Business Name): HUGH ELLIS MCCORMICK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ELLIS MCCOMRICK DO

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 E ARMOUR BLVD APT 220
KANSAS CITY MO
64111-1999
US

IV. Provider business mailing address

12 E ARMOUR BLVD APT 220
KANSAS CITY MO
64111-1999
US

V. Phone/Fax

Practice location:
  • Phone: 254-723-2170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: