NPIMap

Organization Active NPI

Copley Hospital, Inc.

Doing business as Mansfield Orthopaedics @ Copley

  • Orthopaedic Surgery Physician
  • Morrisville, VT
National Provider Identifier
1376587634
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
667 Issued in VT
Legal business name
COPLEY HOSPITAL, INC.
Doing business as
Mansfield Orthopaedics @ Copley
Practice address
555 Washington Hwy
Morrisville, VT 05661-8973
Phone
(802) 888-8888
Fax
(802) 888-8406
NPI assigned
Jun 16, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Jeffrey Hebert
Title
Cfo
Phone
(802) 888-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 667 VT Primary

Addresses

Primary practice location

555 Washington Hwy
Morrisville, VT 05661-8973

Mailing address

528 Washington Hwy
Morrisville, VT 05661-8973
Phone (802) 888-8888

Other practice location 1

1979 Waterbury Stowe Road
Waterbury Center, VT 05677
Phone (802) 888-8405

Other practice location 2

6 N Main St
Waterbury, VT 05676-1839
Phone (802) 888-8405

Other identifiers 2

IdentifierTypeStateIssuer
1012122MedicaidVT
19022OtherVTMANSFIELD ORTHOPAEDICS

Other names 1

  • Mansfield Orthopaedics @ Copley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811001413 VT Part B Supplier - Clinic/Group Practice 9234125766 Receives reassigned benefits from 96 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morrisville, VT; Waterbury Center, VT

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

530 Washington Hwy
Ste 2200
Morrisville, VT 05661

1878 Mountain Rd
Ste 3
Stowe, VT 05672
Phone (802) 253-4853

Practitioners & affiliated clinicians

Practitioners 99

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.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1376587634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-8888",
            "fax_number": "802-888-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618973",
            "telephone_number": "802-888-8888",
            "fax_number": "802-888-8406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1979 Waterbury Stowe Road",
            "address_purpose": "LOCATION",
            "city": "Waterbury Center",
            "state": "VT",
            "postal_code": "05677",
            "country_code": "US",
            "telephone_number": "802-888-8405",
            "fax_number": "802-888-8406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 N Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "VT",
            "postal_code": "056761839",
            "country_code": "US",
            "telephone_number": "802-888-8405",
            "fax_number": "802-888-8406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COPLEY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "802-888-8663"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012122",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANSFIELD ORTHOPAEDICS",
            "identifier": "19022",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Orthopaedics @ Copley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mansfield Orthopaedics @ Copley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrisville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.