Southwestern Vermont Medical Center, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTHWESTERN VERMONT MEDICAL CENTER, INC

Doing business as

SVMC Mountain Medical Services

Practice address

13 Grand Summit Way
West Dover, VT 05356

Phone

(802) 464-9300

Fax

(802) 464-9314

NPI assigned

Sep 12, 2011

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWESTERN VERMONT MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Thomas Dee

Title

Ceo

Phone

(802) 442-6361

Specialties & licenses 1

Addresses

Other names 1

• SVMC Mountain Medical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789

  O20060929000045

  Same enrollment
• Southwestern Vermont Medical Center Inc.

  dba SVMC Primary Care

  • Primary Care Clinic/Center
  • Bennington, VT
  • NPI 1336397926

  O20060929000045

  Same enrollment
• Southwestern Vermont Medical Center Inc.

  dba Southwestern Vermont Regional Cancer Center

  • Oncology Clinic/Center
  • Bennington, VT
  • NPI 1962650556

  O20060929000045

  Same enrollment

Part of

Southwestern VT Medical

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1134401599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-442-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 GRAND SUMMIT WAY",
            "city": "WEST DOVER",
            "state": "VT",
            "postal_code": "05356",
            "telephone_number": "802-464-9300",
            "fax_number": "802-464-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VERMONT MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN VERMONT MEDICAL CENTER",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "DEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-442-6361"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVMC Mountain Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sindy Lee Hassig, MSPT
• Mountain Sports Medicine, Inc.
• Jason W Naylor, LMFT
• Rachel Lynn Perry, LMT
• Southwestern Vermont Health Care Enterprises
• Zomar Inc (Marci Himelson)

• General Practice Physician in West Dover, VT
• Providers in West Dover, VT by specialty
• General Practice Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.