Active NPI
Denny Cormier, M.D.
- Family Medicine Physician
- Yorktown, VA
National Provider Identifier
1154513257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101240779
- Practice address
- 5007 Victory Blvd
Yorktown, VA 23693-5606 - Phone
- (757) 320-4317
- NPI assigned
- Aug 13, 2007
- Last updated
- Dec 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101240779 | VA | Primary |
Addresses
Primary practice location
5007 Victory Blvd
Yorktown, VA 23693-5606
Mailing address
5007 Victory Blvd
Tabb, VA 23693
Phone (757) 320-4317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00946679B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1154513257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 VICTORY BLVD",
"city": "TABB",
"state": "VA",
"postal_code": "23693",
"telephone_number": "757-320-4317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 VICTORY BLVD",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236935606",
"telephone_number": "757-320-4317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "DENNY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101240779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00946679B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.