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DR. JOHN M MCCORMACK M.D.
NPI 1477558054
General Practice in West Plains, MO

Active since June 20, 2005PECOS Enrolled
805 KENTUCKY AVE., WEST PLAINS, MO 65775(417) 256-2111(417) 256-4858 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John M Mccormack M.d. NPPES

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

DR. JOHN M MCCORMACK M.D. (NPI 1477558054) is an individual general practice provider in West Plains, Missouri, licensed in Missouri (R3B70) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477558054
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHN M MCCORMACKCredential: M.D.
Location Address805 KENTUCKY AVE.West Plains, MO 65775
Mailing Address805 Kentucky Ave.West Plains, MO 65775 · (417) 256-2111 · Fax (417) 256-4858
Phone(417) 256-2111
Fax(417) 256-4858
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateJanuary 23, 2008
✔ NPI 1477558054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · R3B70
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
805 KENTUCKY AVE., West Plains, MO 65775
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Other Identifiers 8

Medicare ID-Type Unspecified000014537MO · Care Professional
Medicaid599022308MO
Medicaid201249521MO
Medicare UPINA11576MO
OtherP00207389Medicare Rr
Medicare ID-Type Unspecified00005448MO · Care Individual
Medicare ID-Type Unspecified268904MO · Care Rhc
Medicaid599022307MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John M Mccormack M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mccormack's NPI number?

The NPI number for John Mccormack is 1477558054. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is John Mccormack located?

John Mccormack practices at 805 Kentucky Ave., West Plains, MO 65775. The listed phone number is (417) 256-2111.

What is John Mccormack's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Mccormack enrolled in Medicare?

Yes. John Mccormack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Mccormack was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.