David M Coddaire, M.D.
Individual provider Active NPI Family Medicine Physician · Morrisville, VT
NPI 1376500058 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1376500058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 042-0005100 (VT)
- Practice address
- 609 Washington Hwy
Morrisville, VT 05661-8652 - Phone
- (802) 888-5639
- Fax
- (802) 888-6040
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lamoille Health Partners Inc
Practice addresses (Care Compare)
272 N Main St
Unit 101
Cambridge, VT 05444-9810
Phone (802) 644-5114
607 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-8320
609 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-7585
Hospital & facility affiliations
- Lamoille Home Health & Hospice
- Copley Hospital
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 |
|---|---|---|---|---|
| I20040309000972 | VT | Practitioner - Family Practice |
6608784111 |
Reassigns benefits to 3 organizations Practice locations: Morrisville, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0005100 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Lamoille Health Partners, Inc | Current |
Accepting new patients | |
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Copley Hospital Inc | Current | Accepting new patients | |
| Copley Hospital, Inc | Current |
Accepting new patients | |
| Lamoille Health Partners Inc. | Family Medicine | Current |
Accepting new patients |
| Lamoille Health Partners, Inc | Family Medicine | Current | Accepting new patients |
| Copley Hospital, Inc. | Current |
Accepting new patients | |
| Copley Hospital, Inc. | Current | Accepting new patients | |
| Lamoille Health Partners, Inc | Family Medicine | Current | Accepting new patients |
| Copley Hospital, Inc. | Current | Accepting new patients |
Locations
272 N Main St
Unit 101
Cambridge, VT 05444
Phone (802) 644-5114
528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231
609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639
607 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDHBAA
- david.coddaire@chslv.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042-0005100 | VT | Yes |
Addresses
Primary practice location
609 Washington Hwy
Morrisville, VT 05661-8652
Mailing address
607 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-5639
Other practice location 1
1878 Mountain Rd
Stowe, VT 05672-4776
Phone (802) 888-5639
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080103401 | Other | VT | RR MEDICARE |
| 0004692 | Medicaid | VT | |
| 8000718 | Other | VT | LADIES FIRST |
| 00004692 | Other | VT | BLUE CROSS BLUE SHIELD |
Other providers in Morrisville, VT
- Paul Carroll
- Katie Rae Chivington
- Allison J Christie
- Brenda Christie
- Armando Ciampa
- Steven Collins
- Community Health Services of Lamoille Valley
- Caroline Connolly
- Samantha Cook
- Copley Hospital
All providers in Morrisville, VT · Family Medicine 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 Aug 3, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.