JERRY MICHAEL MCCORMICK MD
NPI 1811962616
Dermatology in Brooklyn Center, MN

Active since February 23, 2006
6845 LEE AVE N, MAIL STOP 31400A, BROOKLYN CENTER, MN 55429(763) 569-0300(763) 569-0311 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Michael Mccormick Md NPPES

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

JERRY MICHAEL MCCORMICK MD (NPI 1811962616) is an individual dermatology provider in Brooklyn Center, Minnesota, licensed in Minnesota (29706) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1811962616
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJERRY MICHAEL MCCORMICKCredential: MD
Location Address6845 LEE AVE N, MAIL STOP 31400ABrooklyn Center, MN 55429-1717
Mailing Address6845 Lee Ave N, 31400aBrooklyn Center, MN 55429-1717 · (763) 503-4395 · Fax (763) 503-4395
Fax(763) 569-0311
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateAugust 20, 2008
NPI 1811962616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in MN · 29706 Licensed in WI · 24722
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6845 LEE AVE N, Brooklyn Center, MN 55429

Other Names 1

Other Name (5)J Michael Mccormick

Other Identifiers 3

Medicare UPINA96212
Medicare ID-Type Unspecified070000616MN
Medicaid158380800MN

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.

Pediatrics
6845 LEE AVE N
BROOKLYN CENTER, MN 55429
Obstetrics & Gynecology
6845 LEE AVE N, MAIL STOP 31400A
BROOKLYN CENTER, MN 55429
Dietitian, Registered
6845 LEE AVE N
BROOKLYN CENTER, MN 55429
Internal Medicine
6845 LEE AVE N, MAIL STOP 31400A
BROOKLYN CENTER, MN 55429
Internal Medicine
6845 LEE AVE N, MS 31400A HEALTHPARTNERS BROOKLYN CENTER CLINIC
BROOKLYN CENTER, MN 55429
Nurse Practitioner
6845 LEE AVE N
BROOKLYN CENTER, MN 55429
Nurse Practitioner
6845 LEE AVE N, MAIL STOP 31400A
BROOKLYN CENTER, MN 55429
Family Medicine
6845 LEE AVE N
BROOKLYN CENTER, MN 55429

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 Jerry Mccormick's NPI number?

The NPI number for Jerry Mccormick is 1811962616. It was assigned to this individual provider in the NPPES registry on February 23, 2006. The provider is also known as J Michael Mccormick.

Where is Jerry Mccormick located?

Jerry Mccormick practices at 6845 Lee Ave N Mail Stop 31400A, Brooklyn Center, MN 55429. The listed phone number is (763) 569-0300.

What is Jerry Mccormick's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Jerry Mccormick was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.