NPIMap

Organization Active NPI

Porter Hospital Inc

  • Obstetrics & Gynecology Physician
  • Middlebury, VT
National Provider Identifier
1053331389
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PORTER HOSPITAL INC
Practice address
104 Porter Dr
Middlebury, VT 05753-8527
Phone
(802) 388-8808
Fax
(802) 388-8322
NPI assigned
Jul 20, 2006
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Steve Ciampa
Title
Cfo
Phone
(802) 388-4752

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Cardiovascular Disease Physician 207RC0000X
Obstetrics & Gynecology Physician 207V00000X Primary
Otolaryngology Physician 207Y00000X

Addresses

Primary practice location

104 Porter Dr
Middlebury, VT 05753-8527

Mailing address

104 Porter Drive
Middlebury, VT 05753
Phone (802) 388-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000607 VT Part A Provider - Critical Access Hospital 1850365180 Receives reassigned benefits from 246 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Middlebury, VT; Vergennes, VT; Rutland, VT; Bristol, VT; Brandon, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053331389. Details of each certification follow.

Hospital certification: CCN 471307

Legal name
PORTER HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 31, 2005
Last certification
Mar 16, 2022
Beds
45
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 14, 1986 in VT
Enrollment address
115 Porter Dr
Middlebury, VT 57538423
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Care Compare: Hospital

Medicare Care Compare
Listed as
Porter Hospital IncCCN 471307 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

101 Adirondack Dr
Ste 1
Ticonderoga, NY 12883
Phone (518) 585-2831

115 Porter Dr
Ste 1
Middlebury, VT 05753

1436 Exchange St
Middlebury, VT 05753
Phone (802) 388-3194

37 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4705

37 Porter Dr
#120
Middlebury, VT 05753

44 Collins Dr
Middlebury, VT 05753
Phone (802) 388-1500

156 Main St
Montpelier, VT 05602
Phone (802) 223-4738

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sivan Cotel Individual Corporate DirectorBoard Chairperson Oct 1, 2018
Porter Medical Center Inc Organization, Middlebury, VT Operational/Managerial Control Nov 14, 1986
William J Townsend Individual Corporate Director Jan 1, 2009
Thomas Thompson Individual Corporate OfficerPresident/Coo Jan 1, 2021 100%
Elizabeth Elkins Individual W-2 Managing Employee Jan 1, 2021
Scott a Comeau Individual Corporate OfficerCfo Jan 1, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 468

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 468

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1053331389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PORTER DRIVE",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-8808",
            "fax_number": "802-388-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538527",
            "telephone_number": "802-388-8808",
            "fax_number": "802-388-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "CIAMPA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-388-4752"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.