Southwestern Vermont Medical Center Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTHWESTERN VERMONT MEDICAL CENTER INC

Doing business as

SVMC Urology

Practice address

140 Hospital Dr
Suite 100
Bennington, VT 05201-5009

Phone

(802) 447-6253

Fax

(802) 442-3017

NPI assigned

May 19, 2009

Last updated

May 19, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWESTERN VERMONT MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Mark Novotny, MD

Title

Ceo

Phone

(802) 447-5014

Specialties & licenses 1

Addresses

Other names 1

• SVMC Urology Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

SVMC Dept of Psy

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1174758270",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-447-6253",
            "fax_number": "802-442-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VERMONT MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN VERMONT MEDICAL CENTER INC",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-447-5014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVMC Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Anthony Sola, PHD
• Southwest Vermont Supervisory Union
• Southwestern Vermont Health Care
• Southwestern Vermont Health Care Corporation (Bennington Primary Care)
• Southwestern Vermont Medical Center (Visiting Nurse Association & Hospice of Southwestern Vermont Health Ca)
• Southwestern Vermont Medical Center Inc (SVMC OB/GYN)
• Southwestern Vermont Medical Center Inc (SVMC Medical Associates)
• Southwestern Vermont Medical Center Inc (Southwestern Vermont Medical Center)
• Southwestern Vermont Medical Center Inc (SVMC Gastroenterology)
• Southwestern Vermont Medical Center Inc.

• Urology Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Urology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.