MRS. DENA L MCCORMICK PA-C
NPI 1225066608
Physician Assistant - Medical in Herrin, IL

Q: What is Dena Mccormick's NPI number?

The NPI number for Dena Mccormick is 1225066608. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Dena L Pankey P.A.C.

Q: What is Dena Mccormick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Dena Mccormick was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2006

201 S 14TH ST, HERRIN, IL 62948(618) 942-2171(618) 988-6186 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 13, 2017 (3 updates tracked since 2017).

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About Mrs. Dena L Mccormick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DENA L MCCORMICK PA-C (NPI 1225066608) is an individual medical provider in Herrin, Illinois, licensed in Illinois (085002236) and active in the NPI registry since June 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225066608

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. DENA L MCCORMICKCredential: PA-C

Location Address201 S 14TH STHerrin, IL 62948-3631

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 942-2171

Fax(618) 988-6186

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1225066608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085002236

201 S 14TH ST, Herrin, IL 62948

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Other Names 1

Former Name (1)Dena L Pankey P.a.c

Secondary Practice Locations 2

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 529-0524

Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0469

Other Identifiers 6

Medicaid036062597IL

Other10019630IL · Blue Cross

Other139759IL · Hamp

Other7210895IL · Aetna

Other894228IL · Healthlink

Other3932056IL · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY KALERT PTA

Physical Therapy Assistant