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NPI Code Detail

MEDICARE: PATRICK W MCCORMICK M.D.

MEDICARE: PATRICK W MCCORMICK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician35061024MOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124021514
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK W MCCORMICK M.D.
Provider Business Mailing Address
First Line : 2222 CHERRY ST
Second Line : STE M200
City : TOLEDO
State : OH
Zip : 43608-2673
Country : US
Telephone Number : 419-251-1155
Fax Number : 419-251-3868
Provider Business Practice Location Address
First Line : 2222 CHERRY ST
Second Line : STE M200
City : TOLEDO
State : OH
Zip : 43608-2673
Country : US
Telephone Number : 419-251-1155
Fax Number : 419-251-3868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 11/03/2023

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