Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-067888 | OH |
N | 111NI0900X | Internist | 35-067888 | OH |
N | 207RC0200X | Critical Care Medicine | 35-067888 | OH |
Y | 207RP1001X | Pulmonary Disease | 35-067888 | OH |
NPI | 1083671564 |
---|---|
Provider Name | Francis Xavier Mccormack JR. |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 21/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0107075 | (05) | OH |
110248665 | RAIL ROAD MEDICARE (01) | OH |
200144030 | (05) | IN |
64937675 | (05) | KY |
E48631 | (02) |