| Lawrence R Mccormack, MD | |
|
703 Tyler St, Ste 151, Sandusky, OH 44870-3392 | |
| (419) 627-1056 | |
| (419) 627-6269 |
| Full Name | Lawrence R Mccormack |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 703 Tyler St, Sandusky, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831168608 | NPI | - | NPPES |
| 0361791 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 034991 (Ohio) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 034991 (Ohio) | Primary |
| Entity Name | North Coast Professional Company, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648210 PECOS PAC ID: 6305810201 Enrollment ID: O20040825001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence R Mccormack, MD 1031 Pierce St, Suite D, Sandusky, OH 44870-4669 Ph: (419) 557-5568 | Lawrence R Mccormack, MD 703 Tyler St, Ste 151, Sandusky, OH 44870-3392 Ph: (419) 627-1056 |
Dr. Christopher E Avendano, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2800 Hayes Ave, Building G, Sandusky, OH 44870 Phone: 419-609-7506 Fax: 419-609-1826 | |
Dr. Susan A Gallagher, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 149 E Water St, Sandusky, OH 44870 Phone: 419-625-0925 Fax: 419-625-1994 | |
Dr. Vitaliy Pishchik, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 417 Quarry Lakes Drive, Cleveland Clinic Cancer Centers, Sandusky, OH 44870 Phone: 419-609-2870 | |
Adarsh Vennepureddy, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 417 Quarry Lakes Dr, Sandusky, OH 44870 Phone: 419-626-9090 Fax: 419-626-6319 | |
Dr. Brian Richard Murphy, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 417 Quarry Lakes Drive, Sandusky, OH 44870 Phone: 419-626-9090 Fax: 419-626-6319 | |
Dr. William Scott Sheldon, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 703 Tyler St, Suite 250, Sandusky, OH 44870 Phone: 440-414-9300 Fax: 216-201-5588 | |
Jolene Keller Mills, BSN, RN Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1221 Hayes Ave Ste F, Sandusky, OH 44870 Phone: 419-557-6995 Fax: 419-627-0241 |