Organization Active NPI

Blue Collar Medicine

Doing business as Medical Provider Solutions

  • Medical Physician Assistant
  • Barre, VT
National Provider Identifier
1245554575
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
BLUE COLLAR MEDICINE
Doing business as
Medical Provider Solutions
Practice address
36 Willey St
Barre, VT 05641-2500
Phone
(802) 522-1327
NPI assigned
Mar 15, 2010
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Christopher P. Malone
Title
Chief Operating Officer
Phone
(802) 522-1327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

36 Willey St
Barre, VT 05641-2500

Mailing address

PO Box 591
Barre, VT 05641-0591
Phone (802) 522-1327

Other names 1

  • Medical Provider Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1245554575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410591",
            "telephone_number": "802-522-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WILLEY ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056412500",
            "telephone_number": "802-522-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE COLLAR MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "802-522-1327"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Provider Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.