Van Wormer Management, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VAN WORMER MANAGEMENT, LLC

Doing business as

Van Wormer Healthcare Clinic

Practice address

2850 Manhattan Blvd Ste a
Harvey, LA 70058-2911

Phone

(504) 362-3000

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Van Wormer, DCNPI 1023238805

Title

Chiropractor

Phone

(504) 362-3000

Specialties & licenses 1

Addresses

Other names 1

• Van Wormer Healthcare Clinic Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George D Vanwormer, DC

  • Chiropractor
  • Harvey, LA
  • NPI 1023238805
  NPD Authorized official
• Kristin Ancar, D.C.

  • Chiropractor
  • Harvey, LA
  • NPI 1114333051
  NPD
• Jesse Selser, DC

  • Rehabilitation Chiropractor
  • Harvey, LA
  • NPI 1558102459
  NPD
• Beverly J Owusu-Duku, DC

  • Rehabilitation Chiropractor
  • New Orleans, LA
  • NPI 1336603257
  NPD (past)
• Miguel Ridgley, D. C.

  • Chiropractor
  • Harvey, LA
  • NPI 1154511533
  NPD (past)

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1174367700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MANHATTAN BLVD STE 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 STE A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582911",
            "telephone_number": "504-362-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5630 Crowder Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701272430",
            "country_code": "US",
            "telephone_number": "504-362-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Veterans Memorial Blvd Ste 22",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700624718",
            "country_code": "US",
            "telephone_number": "504-362-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VAN WORMER MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "VAN WORMER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "504-362-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Wormer Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sheree Venson Nelson, CNA

• 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 Jun 19, 2024; 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.