Provider Demographics
NPI:1316978513
Name:ROMINGER, COREY R (PA-C)
Entity type:Individual
Prefix:MR
First Name:COREY
Middle Name:R
Last Name:ROMINGER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 7900 BOX 293
Mailing Address - Street 2:
Mailing Address - City:DPO
Mailing Address - State:AE
Mailing Address - Zip Code:09213-0293
Mailing Address - Country:US
Mailing Address - Phone:681-261-7012
Mailing Address - Fax:
Practice Address - Street 1:US CONSULATE GENERAL FRANKFURT - ATTN: COREY ROMINGER
Practice Address - Street 2:GIESSENERSTR. 30
Practice Address - City:FRANKFURT
Practice Address - State:HESSEN
Practice Address - Zip Code:60435
Practice Address - Country:DE
Practice Address - Phone:011-069-7535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002117363AM0700X, 363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010249660Medicaid