| Paul M Mccormick, DO | |
|
1575 Beam Ave, Maplewood, MN 55109-1126 | |
| (651) 232-7348 | |
| (651) 232-6665 |
| Full Name | Paul M Mccormick |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1575 Beam Ave, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275581340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 39151 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Lake View Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023067642 PECOS PAC ID: 9032002688 Enrollment ID: O20040206000105 |
| Entity Name | Emergency Care Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul M Mccormick, DO 2126 Lincoln Ave, Saint Paul, MN 55105-1045 Ph: (651) 698-7854 | Paul M Mccormick, DO 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-7348 |
Dr. Jaremy Dale Joy, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 651-232-6665 | |
Deborah L Abney Lidahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 | |
Zabrina Naomi Evens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 612-863-6590 | |
Caroline Bailey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 785-640-9498 | |
Christine Ohl, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 612-863-6590 | |
Dr. Michael H Bambenek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 612-439-1860 |