Provider Demographics
NPI:1386621506
Name:CUMMINGS, GEORGE HENRY (DO)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HENRY
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 JANITELL RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4141
Mailing Address - Country:US
Mailing Address - Phone:719-368-7247
Mailing Address - Fax:719-985-8289
Practice Address - Street 1:2838 JANITELL RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4141
Practice Address - Country:US
Practice Address - Phone:719-368-7247
Practice Address - Fax:719-985-8289
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0063189207ZP0102X
IA03127207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000185339Medicaid
CO029471OtherKAISER COMMERCIAL NUMBER