Individual provider Active NPI

Cynthia E Dorr, MD

  • General Practice Physician
  • Norfolk, VA
National Provider Identifier
1790713386
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101052405 Issued in VA
Practice address
549 E Brambleton Ave
Norfolk, VA 23510-2905
Phone
(757) 393-1136
Fax
(757) 698-2498
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101052405 VA Primary
Emergency Medicine Physician 207P00000X 0101052405 VA

Addresses

Primary practice location

549 E Brambleton Ave
Norfolk, VA 23510-2905

Mailing address

549 E Brambleton Ave
Norfolk, VA 23510-2905
Phone (757) 393-1136

Other identifiers 1

IdentifierTypeStateIssuer
5802407MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000619 VA Practitioner - Emergency Medicine 3577466879 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052405VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical East Richmond, LLC PastSince Sep 4, 2012 Accepting new patients
Bayview Physician Services, PC Past Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Nowcare Physicians Emergency Medicine Past Accepting new patients
Emergency Physicians of Tidewater Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1790713386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E BRAMBLETON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102905",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 E BRAMBLETON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102905",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORR",
        "first_name": "CYNTHIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101052405",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101052405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5802407",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.