Rian McCormack
Rian McCormack is a Physician Assistant in Somerville, Massachusetts. Qualified in 2012, 14 years ago. Practices with 360 Healthcare LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 14
- Licensed in
- MA
- In the registry since
- 2014
Practice location Address checks out
33 Bow StSomerville, MA 02143-2937
Phone: (617) 625-9992
Fax: (617) 666-0662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA4876 (MA) |
|---|
Record details
| NPI number | 1699186312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 15, 2014 |
| Last updated in NPPES | May 15, 2014 |
| Mailing address | 33 Bow St, Somerville, MA 02143-2937 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | 360 Healthcare Llc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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