Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Cole Alan McCormick, PA

Individual provider Physician Assistant · NPI 1811447139

Mr. Cole Alan McCormick, PA is a Physician Assistant in Bridgeton, Missouri. Graduated from Southern Illinois University School of Medicine in 2016, 10 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Trained at
Southern Illinois University School of Medicine
Licensed in
MO
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12266 Depaul Dr Ste 205
Bridgeton, MO 63044
Phone: (314) 218-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 454-8917

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2019040259 (MO)

Record details

NPI number1811447139
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 11, 2016
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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