Vermont Physicians Clinic Dba Green Mountain Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERMONT PHYSICIANS CLINIC DBA GREEN MOUNTAIN FAMILY MEDICINE

Practice address

69 Allen St
Ste 203
Rutland, VT 05701-4564

Phone

(802) 775-7798

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Egbert

Title

M.D.

Phone

(802) 775-7798

Specialties & licenses 1

Addresses

Tax ID family

David S Tager MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Vermont Physicians Clinic

  • Family Medicine Physician
  • Rutland, VT
  • NPI 1306881693
  NPD tax ID
• Vermont Physicians Clinic

  • Gastroenterology Physician
  • Rutland, VT
  • NPI 1780690172
  NPD tax ID
• Vermont Physicians Clinic Laboratory

  • Clinical Medical Laboratory
  • Rutland, VT
  • NPI 1568678803
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013123355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "STE 203",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "STE 203",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-775-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT PHYSICIANS CLINIC DBA GREEN MOUNTAIN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "802-775-7798"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vermont Physicians Clinic
• Vermont Physicians Clinic
• Vermont Physicians Clinic
• Vermont Physicians Clinic Dba Carleen Messina
• Vermont Physicians Clinic Dba Family Medicine
• Vermont Physicians Clinic Dba Lee Emerson
• Vermont Physicians Clinic Dba Rutland Skin Center
• Vermont Physicians Clinic Inc.
• Vermont Physicians Clinic Laboratory
• Vermont Physicians Clinic Laboratory Dba Mid VT Neurology

• Family Medicine Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.