Ruth Fingerhut Cody, PA-C
Individual provider Active NPI Physician Assistant · Springfield, VT
NPI 1073544409 · NPPES record last updated Dec 13, 2011
Key facts
- NPI
- 1073544409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055-0030156 (VT)
- Practice address
- 368 River St
Springfield, VT 05156-2242 - Phone
- (802) 886-2526
- Fax
- (802) 886-2225
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040325000020 | VT | Practitioner - Physician Assistant | 5496647604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0030156 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Medical Care Systems Inc | Current |
Accepting new patients |
Locations
1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292
368 River St
Springfield, VT 05156
Phone (802) 886-2526
29 Ridgewood Rd
Springfield, VT 05156
Phone (802) 885-5733
100 River St
Springfield, VT 05156
Phone (802) 886-8900
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-0030156 | VT | Yes |
Addresses
Primary practice location
368 River St
Springfield, VT 05156-2242
Mailing address
PO Box 710
Springfield, VT 05156-0710
Phone (802) 886-2526
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008022 | Medicaid | VT |
Other providers in Springfield, VT
- Brett Christoffers
- Dan Ciobanu
- John Steven Ciocchi
- Meghen Anne Clancy
- Jennifer Cobb
- Thornton Squire Cody
- Andrea C Collins
- Daniel Collins
- Shannon Lee Collins
- Heidi Conley
All providers in Springfield, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2011. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.