Central Vermont Medical Center Inc
Organization Active NPI Family Medicine Physician · Berlin, VT
NPI 1023028784 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1023028784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CENTRAL VERMONT MEDICAL CENTER INC
- Practice address
- 130 Fisher Rd
Berlin, VT 05602-9516 - Phone
- (802) 371-4100
- Fax
- (802) 371-4488
- NPI assigned
- Aug 8, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CVMC MEDICAL GROUP PRACTICES
Authorized official
- Name
- Cheyenne Holland
- Title
- Cfo
- Phone
- (802) 371-4109
Other NPIs with the same Medicare PAC ID 3
Practitioners 686
-
Lauren Abramowitz, FNP
-
Emily Josephine Alfano, APRN
-
Grace Altebrando, R.N.
-
Rahul Anil, MD
-
Christopher John Aubin, PA-C
-
Christian H.G. Bean, M.D.
-
John Begly, M.D.
-
Kirsten Berggren, FNP
-
Kate Best, FNP
-
Jared Andrew Blum, M.D.
-
Courtney Lynn Borland, APRN
-
Michael Bouchard II, DPM
-
Sara Kay Brennan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in VT, NY, FL, NH, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051220000393 | VT | Part B Supplier - Clinic/Group Practice | 9335138817 |
Receives reassigned benefits from 597 practitioners Practice locations: Shelburne, VT; S Burlington, VT; Saint Albans, VT; South Burlington, VT; South Hero, VT; Underhill, VT; Waitsfield, VT; Waterbury, VT… |
| O20250827003491 | NY | Part B Supplier - Clinic/Group Practice | 9335138817 |
Receives reassigned benefits from 5 practitioners Practice locations: Rouses Point, NY; Plattsburgh, NY; Peru, NY; Glenmont, NY; Chazy, NY |
| O20250828002578 | FL | Part B Supplier - Clinic/Group Practice | 9335138817 |
Receives reassigned benefits from 1 practitioner Practice locations: Naples, FL |
| O20250829001904 | NH | Part B Supplier - Clinic/Group Practice | 9335138817 |
Receives reassigned benefits from 2 practitioners Practice locations: Hanover, NH; Lyme, NH |
| O20250908003021 | CO | Part B Supplier - Clinic/Group Practice | 9335138817 |
Receives reassigned benefits from 1 practitioner Practice locations: Denver, CO |
National Provider Directory
- Part of
- Central Vermont Medical Center
Locations (25 of 35)
244 Granger Rd
Barre, VT 05641
Phone (802) 225-3942
50 Parkside Ter
Barre, VT 05641
246 Granger Rd
Ste 1
Barre, VT 05641
Phone (802) 371-5950
225 S Main St
Barre, VT 05641
Phone (802) 476-9242
246 Granger Road Berlin
Barre, VT 05641
Phone (802) 225-5810
246 Granger Rd
Ste 101
Barre, VT 05641
246 Granger Rd
Ste 203
Barre, VT 05641
246 Granger Rd
Ste 100
Barre, VT 05641
82 E View Ln
Ste 3
Barre, VT 05641
Phone (802) 225-1266
246 Granger Rd
Ste 2
Barre, VT 05641
Phone (802) 225-5810
130 Fisher Rd
Ste 4
Berlin, VT 05602
Phone (802) 371-4460
130 Fisher Rd
Ste 23
Berlin, VT 05602
Phone (802) 225-1750
130 Fisher Rd
Ste 1-1
Berlin, VT 05602
Phone (603) 653-9885
130 Fisher Rd
Ste 12
Berlin, VT 05602
Phone (802) 225-5400
130 Fisher Rd
Fl 2
Berlin, VT 05602
Phone (802) 371-5372
130 Fisher Rd
Ste 2
Berlin, VT 05602
Phone (802) 225-3980
130 Fisher Rd
Ste 1
Berlin, VT 05602
Phone (802) 371-4875
146 Woodridge Rd
Berlin, VT 05602
130 Fisher Rd
#A
Berlin, VT 05602
Phone (802) 225-5650
130 Fisher Rd
Ste 3MOBB
Berlin, VT 05602
195 Hospital Loop
Ste 2
Berlin, VT 05602
130 Fisher Rd
Fl 3
Berlin, VT 05602
Phone (802) 371-4316
130 Fisher Rd
Ste 3
Berlin, VT 05602
Phone (802) 225-3980
195 Hospital Loop
Ste 23
Berlin, VT 05602
Phone (802) 371-4875
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | 762 | VT | |
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | 762 | VT | |
| Rheumatology Physician |
207RR0500X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Pediatrics Physician |
208000000X | |||
| Neurology Physician |
2084N0400X | VT | ||
| Psychiatry Physician |
2084P0800X | |||
| Child & Adolescent Psychiatry Physician |
2084P0804X | |||
| Surgery Physician |
208600000X | |||
| Urology Physician |
208800000X | |||
| Podiatrist |
213E00000X |
Addresses
Primary practice location
130 Fisher Rd
Berlin, VT 05602-9516
Mailing address
PO Box 547
Barre, VT 05641-0547
Phone (802) 371-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN3891 | Medicaid | VT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Other providers in Berlin, VT
- Quincy Campbell
- Jay D. Carey
- Conor Smith Carpenter
- Central Vermont Anesthesia Associates, Inc.
- Central Vermont Cardiology Associates Inc.
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
All providers in Berlin, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.