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NPI Code Detail

MEDICARE: DR. MICHAEL A MCCORMICK D.O.

MEDICARE: DR. MICHAEL A MCCORMICK D.O.
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
1208600000XSurgery PhysicianOS011923PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
251004012OTHERALBC BS ALABAMA #

General Provider Information

NPI Number : 1235103938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL A MCCORMICK D.O.
Provider Business Mailing Address
First Line : 322 EDGEHILL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-4716
Country : US
Telephone Number : 256-483-8447
Fax Number : 610-688-8643
Provider Business Practice Location Address
First Line : 107 TOWN CENTER RD
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-2330
Country : US
Telephone Number : 610-401-8368
Fax Number : 610-688-8643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 02/19/2013

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