DR. THOMAS EDWARD MCCORMICK M.D. NPI 1295720506

NPI Information

  • NPI: 1295720506
  • Provider Name: DR. THOMAS EDWARD MCCORMICK, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9905 SHELBYVILLE RD
    LOUISVILLE, KY
    ZIP 40223
  • Phone: (502) 425-5166

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NPI Details

DR. Thomas Edward Mccormick, M.D. is an adolescent medicine pediatrics in Louisville, KY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Thomas Edward Mccormick, M.D. NPI is 1295720506. 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:

9905 SHELBYVILLE RD
LOUISVILLE, KY
ZIP 40223-907
Phone: (502) 425-5166
Fax: (502) 327-0526

The NPI 1295720506 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 9/13/2005 and was last updated on 9/13/2017.

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
1208000000XPediatrics26121KENTUCKYNo
22080A0000XPediatricsAdolescent Medicine26121KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
164261217MEDICAIDKENTUCKY
2G00774MEDICARE UPINKENTUCKY

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: 11/21/2025

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