JASON CORMIER MD PROFESSIONAL MEDICAL CORPORATION (NPI# 1902119373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902119373 |
| Entity Type | Organization |
| Organization Name | JASON CORMIER MD PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
4906 Ambassador Caffery Pkwy Suite 1302 Lafayette LA 70508-6962 |
| Mailing Address |
Po Box 82441 Lafayette LA 70598-2441 |
| Practice Telephone | 3372357743 |
| Mailing Telephone | 3372357743 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | JASON CORMIER (OWNER) |
| Authorized Official Telephone | 3372357743 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 203951 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
4906 AMBASSADOR CAFFERY PKWY SUITE 1302 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882917 | Richard James Piccione | Ophthalmology | 4906 Ambassador Caffery Pkwy, Ste. 701 Bldg G, Lafayette, LA 70508-6916 | 2005-06-22 |
| 1578095691 | Brent Rochon, M.d., Apm LLC | Internal Medicine | 4906 Ambassador Caffery Pkwy, Suite 1400, Lafayette, LA 70508-6962 | 2017-03-29 |
| 1023405990 | Joshua Cole Reaves | Dentist | 4906 Ambassador Caffery Pkwy, Suite 1501 Building O, Lafayette, LA 70508-6962 | 2015-04-18 |
| 1154672988 | Gregory Paul Kingston | Pharmacist | 4906 Ambassador Caffery Pkwy, Blding A, Ste 100, Lafayette, LA 70508-6962 | 2012-09-19 |
| 1881906196 | Luke Mancuso | Dentist | 4906 Ambassador Caffery Pkwy, Bldg I, Lafayette, LA 70508-6962 | 2010-07-02 |
| 1639305790 | La Belle Center for Cosmetic Surgery | Clinic/Center | 4906 Ambassador Caffery Pkwy, Building M, Suite 1, Lafayette, LA 70508-6962 | 2009-06-03 |
| 1093969214 | Bluebonnet Dental Care @ Cordoba | Dentist | 4906 Ambassador Caffery Pkwy, Building I, Lafayette, LA 70508-6962 | 2008-11-14 |
| 1942468699 | Home Rx, Inc | Durable Medical Equipment & Medical Supplies | 4906 Ambassador Caffery Pkwy, Building A, Suite1, Lafayette, LA 70508-6962 | 2008-05-29 |
| 1164642740 | Richard J Piccione Md Apmc | Optometrist | 4906 Ambassador Caffery Pkwy, Ste. 701, Lafayette, LA 70508-6916 | 2007-04-26 |
| 1407070527 | Acadiana Urgent Care Associates, LLC | Clinic/Center | 4906 Ambassador Caffery Pkwy, Building C, Suite 350, Lafayette, LA 70508 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821336918 | Paul Harvey Chodroff | Neurological Surgery | 925 Reliez Station Rd, Lafayette, CA 94549-4827 | 2013-01-23 |
| 1700072238 | Jayme Trahan | Neurological Surgery | 1000 W Pinhook Rd Ste 305, Lafayette, LA 70503-2460 | 2007-09-18 |
| 1578784468 | William A. Brennan | Neurological Surgery | 4212 W Congress Street, Suite 3500, Lafayette, LA 70506-6765 | 2007-05-01 |
| 1528183027 | Nancy Lynn Rogers | Neurological Surgery | 798 East Farrel Road, Lafayette, LA 70508 | 2007-03-21 |
| 1508925926 | Cavett M. Robert Jr. | Neurological Surgery | 3959 Canyon Rd, Lafayette, CA 94549-2701 | 2006-12-08 |
| 1740397306 | Ilyas Munshi | Neurological Surgery | 99 W Martial Ave, Lafayette, LA 70508-6583 | 2006-08-23 |
| 1730106410 | Erick Stephanian | Neurological Surgery | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2006-07-17 |
| 1528014586 | Luiz C Dearaujo | Neurological Surgery | 116 Hospital Dr, Suite A, Lafayette, LA 70503-2819 | 2006-05-25 |
| 1750336111 | Ricardo R Leoni | Neurological Surgery | 203 Rue Louis Xiv, Suite B, Lafayette, LA 70508-5736 | 2006-05-24 |
| 1417438631 | Ahmad Moustafa Elakil | Neurological Surgery | 1200 Camellia Blvd, Lafayette, LA 70508-6163 | 2018-08-25 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on JASON CORMIER MD PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.