Individual
DR. JOHN PATRICK MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 STATE ST STE 3, NEW ALBANY, IN 47150
(812) 949-5575
(812) 949-5595
Mailing address
5200 COMMERCE CROSSING, 3RD FLOOR, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01080997A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN1189218
IN MEDICARE
IN
Enumeration date
05/22/2013
Last updated
04/07/2021
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