Individual provider Active NPI

Deirdre Marie Schorman, DO

  • Internal Medicine Physician
  • Wilton, CT
National Provider Identifier
1295850451
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000272 Issued in CT
Practice address
35 Danbury Rd
Unit 5 Wilton Medical Walk in Clinic Inc
Wilton, CT 06897
Phone
(203) 834-8885
Fax
(203) 834-8889
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000272 CT Primary

Addresses

Primary practice location

35 Danbury Rd
Unit 5 Wilton Medical Walk in Clinic Inc
Wilton, CT 06897

Mailing address

35 Danbury Rd
Unit 5 Wilton Medical Walk in Clinic Inc
Wilton, CT 06897
Phone (203) 834-8885

Other identifiers 3

IdentifierTypeStateIssuer
040000272CT01OtherBCBS
061545354OtherHMC
OV4868OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
000272CTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1295850451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DANBURY RD",
            "address_2": "UNIT 5 WILTON MEDICAL WALK IN CLINIC INC",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-834-8885",
            "fax_number": "203-834-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DANBURY RD",
            "address_2": "UNIT 5 WILTON MEDICAL WALK IN CLINIC INC",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-834-8885",
            "fax_number": "203-834-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORMAN",
        "first_name": "DEIRDRE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "040000272CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC",
            "identifier": "061545354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV4868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.