Individual provider Active NPI

Jason Cormier, MD

  • Neurological Surgery Physician
  • Lafayette, LA
National Provider Identifier
1982812723
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
203951 Issued in LA
Practice address
155 Hospital Dr
Suite 100
Lafayette, LA 70503-2852
Phone
(337) 235-7743
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 203951 LA Primary
Neurological Surgery Physician 207T00000X 27335 AL

Addresses

Primary practice location

155 Hospital Dr
Suite 100
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr
Suite 100
Lafayette, LA 70503-2852
Phone (337) 235-7743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101019001152 LA Practitioner - Neurosurgery 1850584152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Louisiana State University School of Medicine in Shreveport, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Neurological Associates of Louisiana, L.L.C.Group PAC ID 2961301130, 4 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

118 Rue Fontaine
Lafayette, LA 70508-5745
Phone (337) 534-8680

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion171
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27335ALMDNeurological Surgery Physician
203951LAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Associates of Louisiana, L.L.C. Neurological Surgery CurrentSince Oct 1, 2011 Accepting new patients

Locations

1103 Kaliste Saloom Rd
Ste 204
Lafayette, LA 70508
Phone (337) 264-7201

516 Verot School Rd
Lafayette, LA 70508
Phone (337) 233-3850

155 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 235-7743

118 Rue Fontaine
Lafayette, LA 70508
Phone (337) 534-8680

1103 Kaliste Saloom Rd
Ste 206
Lafayette, LA 70508
Phone (337) 267-1319

Interoperability endpoints

  • Direct secure messaging: jasoncormier@jcma.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lafayette Surgical Specialty HospitalLafayette, LA, CCN 190259 Hospital 5% Or Greater Direct Ownership Interest (6.02%) Feb 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1982812723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-235-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-235-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "203951",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "27335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.