Green Mountain Primary Care PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREEN MOUNTAIN PRIMARY CARE PLC

Practice address

102A Court St Ste a
Middlebury, VT 05753-1455

Phone

(802) 382-0849

Fax

(802) 382-0144

NPI assigned

Nov 25, 2018

Last updated

Sep 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Weylman, MDNPI 1932294295

Title

Physician

Phone

(802) 382-0849

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Weylman, MD

  • Family Medicine Physician
  • Middlebury, VT
  • NPI 1932294295
  Medicare reassignment NPD Authorized official
• Ania Windsong Dziurzynski, APRN, FNP-C

  • Family Nurse Practitioner
  • Middlebury, VT
  • NPI 1487052593
  Medicare reassignment NPD

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1265901938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 QUARRY RD",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538951",
            "telephone_number": "802-349-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102A COURT ST STE A",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531455",
            "telephone_number": "802-382-0849",
            "fax_number": "802-382-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PRIMARY CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-25",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "WEYLMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-382-0849",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Gillespie
• Kristen J Ginsburg, COUNSELOR
• Wendy Goodwin, L.AC.
• Daniel Robert Gosselin, PT
• Robert Rene Gosselin
• Green Mountain Psychological Associates, P.C.
• Marian S Greenberg, MSW
• Amy Andrews Gregory, M.D.
• Kyleigh Grennon, APRN, PMHNP
• Curtis A Gross, DC

• Family Medicine Physician in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.