Blue Collar Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0006673 Issued in VT

Legal business name

BLUE COLLAR MEDICINE

Doing business as

Medical Provider Solutions

Practice address

34 Willey St
Barre, VT 05641-2500

Phone

(802) 272-9470

NPI assigned

Jun 2, 2010

Last updated

May 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Brian Orr, PA-CNPI 1104847185

Title

Ceo/President

Phone

(802) 272-9470

Specialties & licenses 1

Addresses

Other names 1

• Medical Provider Solutions Doing business as

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.

• Jeremy Orr, PA-C

  • Physician Assistant
  • Rutland, VT
  • NPI 1104847185
  NPD (past) Authorized official

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1134449069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WILLEY ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056412500",
            "telephone_number": "802-272-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WILLEY ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056412500",
            "telephone_number": "802-272-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE COLLAR MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "802-272-9470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0006673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Provider Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Berlin Operations LLC
• Namrata Lalitchandra Bhanat, BDS
• Black Bear Counseling Services
• Amanda R. Blake
• Jaime Blouin, LCMHC
• Blue Collar Medicine (Medical Provider Solutions)
• Holly Blumenthal
• Lacey Elizabeth Boleyn Casey, RN
• Kenyon Castle Bolton IV
• Robin L. Bonser, MED

• Internal Medicine Physician in Barre, VT
• Providers in Barre, VT by specialty
• Internal Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.