NPIMap

Organization Active NPI

Taconic Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Manchester Center, VT
National Provider Identifier
1114092327
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TACONIC ORTHOPAEDICS PC
Practice address
3505 Richville Rd
Manchester Center, VT 05255-9812
Phone
(802) 366-1144
Fax
(802) 768-8466
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Mrs. Robbin Hunt
Title
Clerical Manager
Phone
(802) 366-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3505 Richville Rd
Manchester Center, VT 05255-9812

Mailing address

3505 Richville Road
Manchester Ctr, VT 05255
Phone (023) 661-1448

Other identifiers 5

IdentifierTypeStateIssuer
0005591MedicaidVT
00019364OtherVTBC/BS
932666OtherVTMVP
00018953OtherVTBC/BS
635529OtherVTMVP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041028000926 VT Part B Supplier - Clinic/Group Practice 3870555238 Receives reassigned benefits from 4 practitioners
Practice locations: Manchester Center, VT

National Provider Directory

National Provider Directory

Locations

332 Dewey St
Bennington, VT 05201
Phone (802) 442-2034

3505 Richville Rd
Manchestr Ctr, VT 05255
Phone (802) 251-6294

71 Allen St
Ste 403B
Rutland, VT 05701

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1114092327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 RICHVILLE ROAD",
            "city": "MANCHESTER CTR",
            "state": "VT",
            "postal_code": "05255",
            "telephone_number": "023-661-1448",
            "fax_number": "802-768-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 RICHVILLE RD",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559812",
            "telephone_number": "802-366-1144",
            "fax_number": "802-768-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC ORTHOPAEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_title_or_position": "CLERICAL MANAGER",
        "authorized_official_telephone_number": "802-366-1144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005591",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00019364",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "932666",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00018953",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "635529",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.