Copley Hospital, Inc.
Organization Active NPI Orthopaedic Surgery Physician · Morrisville, VT
NPI 1376587634 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1376587634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 667 (VT)
- Legal business name
- COPLEY HOSPITAL, INC.
- Practice address
- 555 Washington Hwy
Morrisville, VT 05661-8973 - Phone
- (802) 888-8888
- Fax
- (802) 888-8406
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Hebert
- Title
- Cfo
- Phone
- (802) 888-8663
Other NPIs on the same Medicare enrollment 4
Practitioners 86
-
Rahul Anil, MD
-
Nicholas Antell, M.D.
-
Brian Christopher Aros, M.D.
-
Jason Douglas Brazelton, M.D.
-
Kimberly M Bruno, MD
-
Kevin T Carey, M.D.
-
David M Coddaire, M.D.
-
Jordice B Corey, APRN
-
Robin Cotter, MD
-
Tenylle Allen Critchlow, CRNA
-
Israel Demenezes, CRNA
-
Laura L Drenen, NP
-
Donald English Dupuis, M.D.
-
Celeste Fetter, APRN
-
Joan G Fox, CRNA
-
Ciara Hollister, DPM
-
Samantha Jo Hunt, MD
-
Philip G Kiely, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
530 Washington Hwy
Ste 2200
Morrisville, VT 05661
530 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-3089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 667 | VT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012122 | Medicaid | VT | |
| 19022 | Other | VT | MANSFIELD ORTHOPAEDICS |
Other names
- Mansfield Orthopaedics @ Copley
Other providers in Morrisville, VT
- Copley Hospital
- Copley Hospital Inc
- Copley Hospital Inc
- Copley Hospital, Inc
- Copley Hospital, Inc.
- Copley Hospital, Inc.
- Copley Hospital, Inc.
- Copley Hospital, Inc.
- Ashleigh Corey
- Jordice B Corey
All providers in Morrisville, VT · Orthopaedic Surgery 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 Jun 20, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.