Gary David Dormandy, ATHLETIC TRAINER

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000114 Issued in CT

Practice address

333 Christian Street
Choate Rosemary Hall
Wallingford, CT 06492

Phone

(203) 697-2431

Fax

(203) 697-2601

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Choate Rosemary Hall Foundation

  • Pediatric Adolescent Medicine Physician
  • Wallingford, CT
  • NPI 1609186816
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902022148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KISH PLACE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923226",
            "telephone_number": "203-697-2431",
            "fax_number": "203-697-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CHRISTIAN STREET",
            "address_2": "CHOATE ROSEMARY HALL",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-697-2431",
            "fax_number": "203-697-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMANDY",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ATHLETIC TRAINER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Docaxt, Inc
• Santosh Doddamane, DO
• Hannah Donadio
• Patrick Francis Donnelly, CPO
• Maureen Doolittle, R.P.T
• James Craig Dow, D.M.D.
• Dr. Francisco Lopez, LLC
• Jessica Erin Dressel, OTD, OTR/L
• Jane M. Dringoli, OTR/L
• Jon C Driscoll, M.D.

• Athletic Trainer in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.