Southwestern Vermont Medical Center Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHWESTERN VERMONT MEDICAL CENTER INC

Practice address

5957 Main St
Manchester Center, VT 05255-8913

Phone

(802) 362-4440

NPI assigned

Feb 18, 2009

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, M.D.

Title

Chief Medical Officer

Phone

(802) 447-5213

Specialties & licenses 1

Addresses

Other names 1

• SVMC Surgical Specialties Doing business as

Part of

Southwestern Vermont

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1245479088",
    "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": "5957 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558913",
            "telephone_number": "802-362-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN VERMONT MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN VERMONT MEDICAL CENTER INC",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "802-447-5213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SVMC Surgical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Sigrist
• Monica Knorr Sinding, MSW
• Elizabeth Renehan Skoglund, LCMHC
• Molly Susan Smith
• Southern Vermont Audiology, Inc.
• Karol Sowulewski
• Mary Corinne Squire, DDS
• Mary Jaeger Stacy, FNP
• April B. Stein, PH.D.
• Step Ahead ABA VT LLC

• Orthopaedic Surgery Physician in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Orthopaedic Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.