Susan Sutphen Slowinski, M.D.
Individual provider Active NPI Pediatrics Physician · Bellows Falls, VT
NPI 1265542211 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265542211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0420009630 (VT)
- Practice address
- 128 Atkinson St
Cornerstone Pediatrics
Bellows Falls, VT 05101-1326 - Phone
- (802) 463-2020
- Fax
- (802) 463-1195
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20200122002656 | VT | Practitioner - Pediatric Medicine | 7618302555 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420009630 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Pediatrics | Current |
Accepting new patients |
| Paul D Righi, MD PC | Past | Accepting new patients |
Locations
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0420009630 | VT | Yes |
Addresses
Primary practice location
128 Atkinson St
Cornerstone Pediatrics
Bellows Falls, VT 05101-1326
Mailing address
128 Atkinson St
Cornerstone Pediatrics
Bellows Falls, VT 05101-1326
Phone (802) 463-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006308 | Medicaid | VT | |
| 30011519 | Medicaid | NH |
Other providers in Bellows Falls, VT
- Dawne Ruot-Jackson
- Johanna Smokoski Ryan
- Sacred Transitions Midwifery
- Donald Edward Sanborn III
- Sandra Cotter,Lcmhc, Ladc,LLC
- Jessica Suzanne Soldivieri
- Springfield Hospital Inc.
- Springfield Medical Care Systems Inc
- Vernon R Temple
- Taronte Eugene Venable
All providers in Bellows Falls, VT · Pediatrics 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 Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.