Active NPI
Green Mountain Pediatrics PC
- Pediatrics Physician
- Bennington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GREEN MOUNTAIN PEDIATRICS PC
- Practice address
- 901 Main Street
Suite 1
Bennington, VT 05201 - Phone
- (802) 442-6057
- Fax
- (802) 447-1348
- NPI assigned
- Sep 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judy K Orton, MD PA
- Title
- President Director
- Phone
- (802) 442-6057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | VT | Primary |
Addresses
Primary practice location
901 Main Street
Suite 1
Bennington, VT 05201
Mailing address
901 Main Street
Suite 1
Bennington, VT 05201
Phone (802) 442-6057
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10017477 | Other | CDPHP | |
| 0427959 | Other | CIGNA | |
| 26188 | Other | MVP | |
| 1006759 | Medicaid | VT | |
| 33748798 | Other | VT | BCBS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D0090766 | Green Mountain Pediatrics PC | Certificate of waiver | Dec 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
901 Main St
#1
Bennington, VT 05201
Phone (802) 442-6057
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Bennington, VT
- NPI 1346309473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073617783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MAIN STREET",
"address_2": "SUITE 1",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "05201",
"telephone_number": "802-442-6057",
"fax_number": "802-447-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MAIN STREET",
"address_2": "SUITE 1",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "05201",
"telephone_number": "802-442-6057",
"fax_number": "802-447-1348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN MOUNTAIN PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ORTON",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "802-442-6057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10017477",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0427959",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "26188",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006759",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "33748798",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
- John Calvin Gower, CAA
- Clarence Paul Graether, PA-C
- Green Mountain Emdr and Psychotherapy, PLLC (Heidi Peterson, LICSW)
- Green Mountain Midwifery & Women's Health
- Green Mountain Oasis
- Green Mountain Pelvic Health PLLC
- Kim Marie Griffin, CNM
- Meghan Elena Groth, PHARMD
- Guiding Hands Counseling, PLLC
- William Elliott Guild, DMD
Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.