Glen R Lovejoy, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

420007650 Issued in VT

Practice address

115 Porter Drive
Porter Hospital
Middlebury, VT 05753

Phone

(802) 388-4001

Fax

(802) 388-5612

NPI assigned

Sep 29, 2006

Last updated

Jan 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1730112251
  Medicare reassignment NPD
• Fairview Hospital

  • Critical Access Hospital
  • Great Barrington, MA
  • NPI 1942474176
  Medicare reassignment NPD
• Fairview Hospital

  dba Williamstown Medical at North Adams

  • Rural Health Clinic/Center
  • North Adams, MA
  • NPI 1639737042
  NPD
• Porter Hospital Inc

  • Multi-Specialty Clinic/Center
  • Middlebury, VT
  • NPI 1780770511
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296259200000",
    "number": "1154413615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COBB CITY RD",
            "city": "COLEBROOK",
            "state": "CT",
            "postal_code": "060211121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PORTER DRIVE",
            "address_2": "PORTER HOSPITAL",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-4001",
            "fax_number": "802-388-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEJOY",
        "first_name": "GLEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "420007650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3843",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "77V126",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009688",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3843",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lombard, FNP
• Hannah Elizabeth Lones
• Long Trail Psychiatry, LLC
• Kristine S Lorentzsen
• Sarah Irene Louer, MSW
• Faith Lee Lowell, LCSW
• Lianne Lussier, BCBA
• Courtney Mackey
• Judd C Mackey
• Emily M Mahar Cannon, N.D.

• Emergency Medicine Physician in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Emergency Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.