Provider Demographics
NPI:1225005804
Name:CUMMINGS, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5251 JOHN TYLER HWY
Mailing Address - Street 2:STE 15
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185
Mailing Address - Country:US
Mailing Address - Phone:757-259-1900
Mailing Address - Fax:757-259-1901
Practice Address - Street 1:5251 JOHN TYLER HWY
Practice Address - Street 2:STE 15
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185
Practice Address - Country:US
Practice Address - Phone:757-259-1900
Practice Address - Fax:757-259-1901
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101022489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010002427Medicaid
VA005829437Medicaid
VA010164079Medicaid
VA005829437Medicaid
VA930001625Medicare PIN
VA002009R55Medicare PIN
008052S33Medicare ID - Type Unspecified