Sharon Jan Mccormack
Internist Geriatric Medicine Hematology & Oncology
5411 Old Frederick Rd Suite 18
Baltimore
, Maryland 21229-2195
Sharon Jan Mccormack
Internist Geriatric Medicine Hematology & Oncology
5411 Old Frederick Rd Suite 18
Baltimore
, Maryland 21229-2195
(410) 788-6701
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About
Features
Specialties
- Internist
- Geriatric Medicine
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Sharon Jan Mccormack
- 5411 Old Frederick Rd Suite 18
- Baltimore, MD
- Zip : 21229-2195
- Fax : (410) 788-6701
- Phone : (410) 788-4800
Second Address
- Sharon Jan Mccormack
- 5411 Old Frederick Rd Suite 18
- Baltimore, MD
- Zip : 21229-2195
- Fax : (410) 788-6701
- Phone : (410) 788-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | D0038762 | MD |
| Y | 111NI0900X | Internist | D0038762 | MD |
| N | 207RG0300X | Geriatric Medicine | D0038762 | MD |
| N | 207RH0003X | Hematology & Oncology | D0038762 | MD |
National Provider Identifier
| NPI | 1013902899 |
|---|---|
| Provider Name | Sharon Jan Mccormack |
| First Address | Baltimore, MD 21229-2195 |
| Second Address | Baltimore, MD 21229-2195 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2005 |
| Last Update Date | 21/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0401662 | UNITED HEALTHCARE AMERICH (01) | |
| 1442421 | UNITED HEALTHCARE (01) | |
| 241559 | OPTIMUM CHOICE MEDICINE (01) | |
| 341559 | OPTIMUM CHOICE ONCOLOGY (01) | |
| 441559 | OPTIMUM CHOICE HEMATOLOGY (01) | |
| 52989302 | CAREFIRST BCBS (01) | MD |
| 555691 | AETNA (01) | |
| F49706 | (02) | |
| R8280004 | CAREFIRST BCBS FEDERAL DC (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.