IndividualActive
Theron Mccormick, MD
NPI 1649367541 · Pediatric Allergy/Immunology Physician · Baton Rouge, LA
Provider details
- NPI number
- 1649367541
- Entity type
- Individual
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 201441 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8200 Constantin Blvd Fl 3
Baton Rouge, LA 70809-3481
Phone: (225) 765-5500
Fax: (225) 765-4378
Approximate (ZIP-level) locationGet directions
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Additional practice locations (1)
- 7777 Hennessy BlvdSuite 408Baton Rouge, LA 70808-4300Phone: (225) 765-6834Fax: (225) 765-4378
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.