George D Vanwormer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

LA-541 Issued in LA

Practice address

2850 Manhattan Blvd
Suite a
Harvey, LA 70058-2911

Phone

(504) 362-3000

Fax

(504) 362-3059

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Van Wormer Management, LLC

  • Chiropractor
  • Harvey, LA
  • NPI 1174367700
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023238805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MANHATTAN BLVD",
            "address_2": "SUITE A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MANHATTAN BLVD",
            "address_2": "SUITE A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582911",
            "telephone_number": "504-362-3000",
            "fax_number": "504-362-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWORMER",
        "first_name": "GEORGE",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "LA-541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4628941",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Universal Connections Healthcare
• USA Vein Clinics of New Orleans LLC
• Negette Alicia Valcour, HIGHSCHOOL
• Matthew Luis Valdes, APRN
• Van Wormer Management, LLC
• Donell Hosea Vaughn Sr.
• Brushawn Vedor
• Kevin A Velasquez
• Sheree Venson Nelson, CNA
• Jillana Vessel-Thompson, LCSW

• Chiropractor in Harvey, LA
• Providers in Harvey, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.