Serge Cormier, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16774 Issued in WV

Practice address

12 Hartman Plaza
Buckhannon, WV 26201

Phone

(304) 473-0670

Fax

(304) 472-5255

NPI assigned

Aug 29, 2006

Last updated

Dec 17, 2009By the provider in NPPES

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 2

Other names 1

• Dr. Serge Cormier Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1699884379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HOSPITAL PLAZA",
            "address_2": "SUITE 103",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "26452",
            "telephone_number": "304-269-3108",
            "fax_number": "304-269-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HARTMAN PLAZA",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "304-473-0670",
            "fax_number": "304-472-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "SERGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "16774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "000708293",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092089000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERGE",
            "last_name": "CORMIER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Allison Chloe Copenhaver
• Fredericka Dawn Cottrill
• Joanna Cottrill
• Donna Courtney
• Doris Jean Cowgill, CRNA
• Jamie Lynn Cox, PA-C

• Obstetrics & Gynecology Physician in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.