Denise a. Niemira, M.D., P.C.
Organization Active NPI Family Medicine Physician · Newport, VT
NPI 1144314196 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1144314196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DENISE A. NIEMIRA, M.D., P.C.
- Practice address
- 5452 US Route 5
Ste. D
Newport, VT 05855-9870 - Phone
- (802) 334-6140
- Fax
- (802) 334-8271
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Denise Aileen Niemira, M.D.
- Title
- Sole Proprietor
- Phone
- (802) 334-6140
National Provider Directory
Locations
5452 US Route 5
Ste D
Newport, VT 05855
Phone (802) 334-6140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | VT | Yes |
Addresses
Primary practice location
5452 US Route 5
Ste. D
Newport, VT 05855-9870
Mailing address
5452 US Route 5
Ste. D
Newport, VT 05855-9870
Phone (802) 334-6140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000428 | Other | VT | LADIES FIRST |
| VT.0007973 | Medicaid | VT |
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All providers in Newport, VT · Family 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 Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.