Individual provider Active NPI

Louis P Dandurand, MD

  • Emergency Medicine Physician
  • St Albans, VT
National Provider Identifier
1265460257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0420009886 Issued in VT
Practice address
133 Fairfield St
St Albans, VT 05478-1726
Phone
(802) 524-5911
Fax
(802) 524-1057
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0420009886 VT Primary

Addresses

Primary practice location

133 Fairfield St
St Albans, VT 05478-1726

Mailing address

133 Fairfield St
St Albans, VT 05478-1726
Phone (802) 524-5911

Other identifiers 1

IdentifierTypeStateIssuer
OVN2053MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000127 VT Practitioner - Emergency Medicine 8224048939 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420009886VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Jul 12, 1999 Accepting new patients
Northwestern Medical Center Inc CurrentSince Apr 9, 2018 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Jul 12, 1999 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Emergency Medicine Physicians of Ohio County, PLLC Emergency Medicine Past Accepting new patients

Locations

927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

260 Crest Rd
Ste 103
Saint Albans, VT 05478
Phone (802) 524-8911

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223

133 Fairfield St
Ste 102
Saint Albans, VT 05478
Phone (802) 524-5911

260 Crest Rd
Ste 102
Saint Albans, VT 05478
Phone (802) 524-1064

Interoperability endpoints

  • Direct secure messaging: louis.dandurand@nmc.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265460257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "802-524-5911",
            "fax_number": "802-524-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "802-524-5911",
            "fax_number": "802-524-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDURAND",
        "first_name": "LOUIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "0420009886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2053",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Albans, VT

Sources for this page

Verify at the official NPI Registry.