MEDICARE: DR. DAVID H CYR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0102050057	VA
2	207P00000X	Emergency Medicine Physician		VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	010051342	OTHER	VA	MEDICARE RAILROD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	463513	OTHER	VA	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598705618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID H CYR

Provider Business Mailing Address
First Line	:	4053 TAYLOR RD
Second Line	:	SUITE K
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-5537
Country	:	US
Telephone Number	:	757-638-0085
Fax Number	:	757-686-3025

Provider Business Practice Location Address
First Line	:	3235 ACADEMY AVE
Second Line	:	SUITE 102
City	:	PORTSMOUTH
State	:	VA
Zip	:	23703-3200
Country	:	US
Telephone Number	:	757-484-7386
Fax Number	:	757-484-1913

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. DAVID H CYR ” Practice Location

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