THOMAS EDWARD MCCORMICK M.D. NPI 1386675189

NPI Information

  • NPI: 1386675189
  • Provider Name: THOMAS EDWARD MCCORMICK, M.D.
  • Classification: Internal Medicine - 207RA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 57 CHESTNUT AVE
    RUTLAND, VT
    ZIP 05701
  • Phone: (802) 775-4000

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NPI Details

Thomas Edward Mccormick, M.D. is an adolescent medicine internal medicine in Rutland, VT. The provider is an internist 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. Thomas Edward Mccormick, M.D. NPI is 1386675189. 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:

57 CHESTNUT AVE
RUTLAND, VT
ZIP 05701-409
Phone: (802) 775-4000
Fax: (802) 775-5472

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.

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
1207RA0000XInternal MedicineAdolescent Medicine420007175VERMONTYes

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
1D78624MEDICARE UPINVERMONT
26185MEDICAIDVERMONT
3VT6185MEDICARE ID-TYPE UNSPECIFIEDVERMONT

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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