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DR. LISA MARIE MACCORMACK MD NPI 1245289834


NPI Information

NPI: 1245289834
Provider Name: DR. LISA MARIE MACCORMACK, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4231 W 16TH AVE
DENVER, CO
ZIP 80204
Phone: (303) 629-3721
Get Directions

DR. Lisa Marie Maccormack, MD is an emergency medicine in Denver, CO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Lisa Marie Maccormack, MD NPI is 1245289834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4231 W 16TH AVE
DENVER, CO
ZIP 80204-335
Phone: (303) 629-3721
Fax: (303) 629-2192

The NPI 1245289834 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 11/2/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineA68040CALIFORNIANo
2207P00000XEmergency Medicine36900COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A680104MEDICARE PINCALIFORNIA
2P00808581OTHERCOLORADORR MEDICARE
300A680400MEDICAIDCALIFORNIA
4CO306701MEDICARE PINCOLORADO
5H04221MEDICARE UPINCALIFORNIA
632851871MEDICAIDCOLORADO
700A680402MEDICARE PINCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.