DAVID J MCCORMICK PAC NPI 1437253655

NPI Information

NPI: 1437253655
Provider Name: DAVID J MCCORMICK, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: URGENT CARE MEDICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
220 ROUTE 12
GROTON, CT
ZIP 06340
Phone: (860) 446-6137
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David J Mccormick, PAC is a medical physician assistant in Groton, CT with 24 years of experience. David J Mccormick, PAC NPI is 1437253655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

220 ROUTE 12
GROTON, CT
ZIP 06340-414
Phone: (860) 446-6137
Fax: (860) 446-6143

The NPI 1437253655 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA00249	RHODE ISLAND	No
2	363AM0700X	Physician Assistant	Medical	4265	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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