Stephen Marion Rosmus, MD
Individual provider Active NPI Family Medicine Physician · Bomoseen, VT
NPI 1164442174 · NPPES record last updated Sep 22, 2016
Key facts
- NPI
- 1164442174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0420006152 (VT)
- Practice address
- 275 Route 30 N
Castleton Family Health Center
Bomoseen, VT 05732-9647 - Phone
- (802) 468-5641
- Fax
- (802) 468-2923
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420006152 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420006152 | VT | Yes |
Addresses
Primary practice location
275 Route 30 N
Castleton Family Health Center
Bomoseen, VT 05732-9647
Mailing address
71 Allen St
Ste 101
Rutland, VT 05701-4570
Phone (802) 468-5641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007984 | Medicaid | VT |
Other providers in Bomoseen, VT
- Lara K Peck
- Jill V Read
- Nicole Ashley Reda
- Michele Marie Redmond
- Laurel Reed-Becksted
- Rutland Region Collaborative Aco, LLC
- Daniel Sizemore
- Janine F. Small
- Patricia Szabo
- Erica E Tamblini
All providers in Bomoseen, 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 Sep 22, 2016. 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.