Green Mountain Infectious Disease LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

GREEN MOUNTAIN INFECTIOUS DISEASE LLC

Practice address

69 Allen St Ste 8
Rutland, VT 05701-4564

Phone

(207) 807-4452

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

John Gavin CotterNPI 1245331321

Title

Provider/Owner

Phone

(207) 807-4452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Gavin Cotter, M.D.

  • Infectious Disease Physician
  • Rutland, VT
  • NPI 1245331321
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1205640604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 8",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "207-807-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 8",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "207-807-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN INFECTIOUS DISEASE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "207-807-4452"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter B Gray, DMD
• Annalisa Greco, NP
• Jessica N Greco, LICSW
• Green Mountain Dental Sleep Center
• Green Mountain Family Medicine
• Green Mountain Oral Surgery LLC
• Chelsea E Greeno, APRN
• Richard A Greenspan, RPH
• Sarah Greenspan, LMHC
• Glenn Anthony Gregory, DDS

• Infectious Disease Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Infectious Disease Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.