Active NPIIndividual provider

David J Mccormick, PAC

Physician Assistant, Medical in Groton, Connecticut

NPI Number1437253655
Practice location
220 Route 12, Groton, CT 06340-3414
Fax
860-446-6143
Last updated
May 8, 2019

David J Mccormick is a Physician Assistant, Medical based in Groton, CT. David J Mccormick practices in Groton, CT and has the professional credentials of PAC. The NPI Number for David J Mccormick is 1437253655 and holds a License No. PA00249 (RI). The current practice location address for David J Mccormick is 220 Route 12, Groton, CT 06340-3414 and can be reached out via phone at 860-446-6137 and via fax at 860-446-6143.

Provider Profile Details

NPI Number
1437253655
Provider Name
David J Mccormick
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
220 Route 12, Groton, CT 06340-3414
Phone Number
860-446-6137
Fax Number
860-446-6143
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2006
Last Update Date
May 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
220 Route 12
Groton, CT 06340-3414
City
Groton
Zip
06340-3414
Phone Number
860-446-6137
Fax Number
860-446-6143
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
51 Evergreen CT
Wakefield, RI 02879-1652
City
Wakefield
State
RI
Zip
02879-1652
Phone Number
401-789-1734

License Information

License Number (1)
PA00249
License State (1)
RI
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
4265
License State (2)
CT
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David J Mccormick, PAC?

The NPI number of David J Mccormick, PAC is 1437253655. It was assigned on September 8, 2006 and is currently active in the NPPES registry.

What is the specialty of David J Mccormick, PAC?

David J Mccormick, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00249.

Where does David J Mccormick, PAC practice?

The practice location is 220 Route 12, Groton, CT 06340-3414. The office can be reached at 860-446-6137 (phone) or 860-446-6143 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437253655 directly on the NPPES registry website.

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