Ewa Arnold, M.D
Individual provider Active NPI Family Medicine Physician · Townshend, VT
NPI 1235360462 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1235360462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0420012465 (VT)
- Practice address
- 185 Grafton Road
Townshend, VT 05353-0216 - Phone
- (802) 365-4331
- NPI assigned
- Aug 5, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carlos G Otis Health Care Center Inc
Practice addresses (Care Compare)
185 Grafton Rd
Townshend, VT 05353-8820
Phone (802) 365-3601
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Grace Cottage Hospital
- Brattleboro Memorial Hospital
- Springfield Hospital
- Mary Hitchcock Memorial Hospital
- Cheshire Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121126000347 | VT | Practitioner - Family Practice | 5799936795 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420012465 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos G. Otis Health Care Center Inc. | Current |
Accepting new patients | |
| Carlos G Otis Health Care Center Inc | Current |
Accepting new patients | |
| Carlos G Otis Health Care Center Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420012465 | VT | Yes |
Addresses
Primary practice location
185 Grafton Road
Townshend, VT 05353-0216
Mailing address
185 Grafton Road
Twonshend, VT 05353-0216
Phone (802) 365-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420012465 | Other | VT | VERMONT MEDICAL LICENSE |
Other names
- Dr. Ewa Dziewiecka
Other providers in Townshend, VT
All providers in Townshend, 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 Oct 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.