Central Vermont Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 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

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CVMC MEDICAL GROUP PRACTICESAs reported in NPPES

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

Authorized official

Name

Cheyenne Holland

Title

Cfo

Phone

(802) 371-4109

Specialties & licenses 14

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT, NY, FL, NH, CO5 enrollments

Enrollment records 5

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Central Vermont Medical Center Inc

  dba Woodridge Nursing Home

  • Skilled Nursing Facility
  • Berlin, VT
  • NPI 1215023759

  9335138817

  Same PAC ID
• Central Vermont Medical Center Inc

  • General Acute Care Hospital
  • Berlin, VT
  • NPI 1508845637

  9335138817

  Same PAC ID
• Central Vermont Medical Center Inc

  dba Central Vermont Hospital

  • Internal Medicine Physician
  • Berlin, VT
  • NPI 1831374362

  9335138817

  Same PAC ID

Part of

Central Vermont Medical Ctr

Locations (25 of 37)

Practitioners 678

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Abramowitz, FNP

  • Family Nurse Practitioner
  • Montpelier, VT
  • NPI 1548670227
  Medicare reassignment Care Compare group NPD
• Faiz Jaspar Abu-Jaber, MD

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1184201964
  Medicare reassignment Care Compare group NPD
• Emily Josephine Alfano, APRN

  • Family Nurse Practitioner
  • Berlin, VT
  • NPI 1053796144
  Medicare reassignment Care Compare group NPD
• Khalil Rayhan Ali, MD

  • Neurology Physician
  • Burlington, VT
  • NPI 1639664832
  Medicare reassignment Care Compare group NPD
• Rahul Anil, MD

  • Hematology (Internal Medicine) Physician
  • Burlington, VT
  • NPI 1457872715
  Medicare reassignment Care Compare group NPD
• Asad Javed Anwar

  • Medical Oncology Physician
  • Burlington, VT
  • NPI 1992220933
  Medicare reassignment Care Compare group NPD
• Christian H.G. Bean, M.D.

  • Orthopaedic Surgery Physician
  • Berlin, VT
  • NPI 1831155324
  Medicare reassignment Care Compare group NPD
• Marc Belisle

  • Nurse Practitioner
  • Berlin, VT
  • NPI 1649785262
  Medicare reassignment Care Compare group NPD
• Kirsten Berggren, FNP

  • Nurse Practitioner
  • Williston, VT
  • NPI 1841580859
  Medicare reassignment Care Compare group NPD
• Kate Best, FNP

  • Family Nurse Practitioner
  • Berlin, VT
  • NPI 1891190203
  Medicare reassignment Care Compare group NPD
• Alexander Blair

  • Family Medicine Physician
  • Burlington, VT
  • NPI 1568112753
  Medicare reassignment Care Compare group NPD
• Courtney Lynn Borland, APRN

  • Family Nurse Practitioner
  • Berlin, VT
  • NPI 1104406776
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1023028784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-371-4100",
            "fax_number": "802-371-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-371-4100",
            "fax_number": "802-371-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VERMONT MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CVMC MEDICAL GROUP PRACTICES",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-371-4109"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "762",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VT",
            "license": "762",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VT",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quincy Campbell, FNP-C
• Jay D. Carey, MA
• Conor Smith Carpenter, MD
• Central Vermont Anesthesia Associates, Inc.
• Central Vermont Cardiology Associates Inc.
• Central Vermont Medical Center Inc (Woodridge Nursing Home)
• Central Vermont Medical Center Inc
• Central Vermont Medical Center Inc
• Central Vermont Medical Center Inc (Central Vermont Hospital)
• Central Vermont Medical Center Inc

• Family Medicine Physician in Berlin, VT
• Providers in Berlin, 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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.