Arthur D Alsobrook, JR., M.D.
Individual provider Active NPI Emergency Medicine Physician · Newport, VT
NPI 1073624946 · NPPES record last updated Jun 16, 2009
Key facts
- NPI
- 1073624946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0420007127 (VT)
- Practice address
- 189 Prouty Dr
Emergency Department
Newport, VT 05855-9326 - Phone
- (802) 334-4111
- Fax
- (802) 334-4146
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060117000330 | VT | Practitioner - Internal Medicine | 8022032143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Kingdom Healthcare Collaborative, LLC | Current |
Accepting new patients |
Locations
186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262
468 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 223-7723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0420007127 | VT | Yes |
Addresses
Primary practice location
189 Prouty Dr
Emergency Department
Newport, VT 05855-9326
Mailing address
189 Prouty Dr
Emergency Department
Newport, VT 05855-9326
Phone (802) 334-4111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00006157 | Other | VT | BLUE SHIELD |
| 0006157 | Medicaid | VT |
Other providers in Newport, VT
- 35 Bel Aire Drive Opco, LLC
- R. Alan Aiken
- Hagop Alanjian
- Sybille Stillger Andersen
- Neila A Anderson-Decelles
- Jessica Kathleen Andrews
- Dawn A Arenas
- Autism Advocacy and Intervention, LLC
All providers in Newport, VT · Emergency 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 Jun 16, 2009. 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.