Glenn Cormier, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

036468 Issued in LA

Practice address

8212 Kelwood Ave
Baton Rouge, LA 70806-4801

Phone

(225) 929-7600

Fax

(225) 930-7524

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

No

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

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.

• Professional Radiology Services

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
  • NPI 1669571709
  NPD (past)
• St. Tammany Pathology

  • Clinical Pathology/Laboratory Medicine Physician
  • Baton Rouge, LA
  • NPI 1801983226
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1427155019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 S SHERWOOD FOREST BLVD",
            "address_2": "STE 121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162248",
            "telephone_number": "225-293-2523",
            "fax_number": "225-293-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 KELWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064801",
            "telephone_number": "225-929-7600",
            "fax_number": "225-930-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "GLENN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "036468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1395242",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashon Corley, LPC
• Madison Bryant Corley, PA
• Victoria Corley
• Devin Corlin
• Carli Whiteside Cormier, PT, DPT
• Robert N Cormier, CRNA
• Shelby Cormier
• Ciera Cornelious
• Cornelius L. Mayfield, M.D., L.L.C.
• Cornerstone Community Youth Organization

• Certified Registered Nurse Anesthetist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.